| Dr Gina G Wong, OD | |
|
10535 Hospital Way, 112 / I, Mather, CA 95655-4200 | |
| (916) 366-5463 | |
| (916) 364-0187 |
| Full Name | Dr Gina G Wong |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 10535 Hospital Way, Mather, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831169176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11236T (California) | Primary |
| 152W00000X | Optometrist | 5630T (Texas) | Secondary |
| 152W00000X | Optometrist | 2689T (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gina G Wong, OD 5050 Laguna Blvd, Suite 112, #411, Elk Grove, CA 95758-4151 Ph: (832) 265-8467 | Dr Gina G Wong, OD 10535 Hospital Way, 112 / I, Mather, CA 95655-4200 Ph: (916) 366-5463 |
Dr. Keith Yamanishi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way Bldg 720, Mather, CA 95655 Phone: 916-366-5463 | |
Dr. Wesley Takashi Ota, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-366-5466 |