| Mike V. Wong, O.d. A Professional Corp. | |
|
80 N Lake Ave, Suite 102, Pasadena, CA 91101-5626 | |
| (626) 356-8088 | |
| Not Available |
| Full Name | Mike V. Wong, O.d. A Professional Corp. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 80 N Lake Ave, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760403430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10566T (California) | Primary |
| Provider Name | Mike V Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013982206 PECOS PAC ID: 1254310782 Enrollment ID: I20040720000255 |
| Provider Name | Grace Kwei Sim Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467423301 PECOS PAC ID: 6002942034 Enrollment ID: I20100330000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Mike V. Wong, O.d. A Professional Corp. 80 N Lake Ave, Suite 102, Pasadena, CA 91101-5626 Ph: (626) 356-8088 | Mike V. Wong, O.d. A Professional Corp. 80 N Lake Ave, Suite 102, Pasadena, CA 91101-5626 Ph: (626) 356-8088 |
Dr. Mike V. Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 N Lake Ave, Suite 102, Pasadena, CA 91101 Phone: 626-356-8088 Fax: 626-356-8078 | |
Dr. Barbara Jill Armstrong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 Fax: 626-796-0189 | |
Tze Yu Tung, Optometrist Medicare: Medicare Enrolled Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 | |
Dr. Calvin Tan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 Fax: 626-796-0189 | |
Jessica Wai Chung Young, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 E California Blvd, Pasadena, CA 91105 Phone: 800-898-2020 | |
Theresa Tran, OD Optometrist Medicare: Medicare Enrolled Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 | |
Jessica Chang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 Fax: 626-796-0189 |