Individual
ALICE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2800 RIVERSIDE AVE STE 101, PASO ROBLES, CA 93446-1312
(805) 226-1151
Mailing address
2550 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34478TLG
CA
152W00000X
Optometrist
OEG003622
PA
Other
Enumeration date
11/26/2019
Last updated
02/17/2022
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