Organization Name: | CHUEN Y WONG |
NPI Number: | 1144499351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELINDA S BROWER (OFFICE MANAGER) |
Mailing Address: | 118 Se First Street Winlock |
State: | WA US |
Postal Code: | 98596 |
Phone Number: | 3607853861 |
Fax Number: | 3607853831 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OL 599 TX |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |