Individual
BETTY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
787 HEALTH CARE DR, ORANGE CITY, FL 32763-8325
(386) 668-4332
(386) 668-4115
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4798
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002631
PA
152W00000X
Optometrist
Primary
OPC 4779
FL
Other
Enumeration date
07/08/2012
Last updated
09/04/2013
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