Organization
ELMER WONG OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER WONG O.D. (OWNER)
(559) 438-6440
Entity
Organization
Contact information
Practice address
6700 N 1ST ST STE 103, FRESNO, CA 93710-3947
(559) 438-6440
(559) 438-4324
Mailing address
6700 N 1ST ST STE 103, FRESNO, CA 93710-3947
(559) 438-6440
(559) 438-4324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8139T
CA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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