Individual
DR. LYNDON CHARLES WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5330B SOUTH BLVD, CHARLOTTE, NC 28217-4116
(704) 525-9802
(704) 523-2862
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2252
NC
152W00000X
Optometrist
VUT 005474
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244528
—
NY
Enumeration date
02/15/2006
Last updated
03/17/2018
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