Organization
PEAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY WONG OD (OPTOMETRIST)
(301) 385-2840
Entity
Organization
Contact information
Practice address
3272 BENNETT CREEK AVE UNIT B, FREDERICK, MD 21704-7653
(301) 732-7988
(301) 732-7881
Mailing address
9308 BISHOPGATE DR, FREDERICK, MD 21704-7356
(301) 385-2840
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
152WP0200X
Pediatric Optometrist
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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