Clinton King Wong in Moreno Valley - Optometrist
Clinton King Wong - NPI 1619003944
Clinton King Wong is a Optometrist in Moreno Valley, California. Clinton King Wong practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Clinton King Wong is 1619003944. The last update date is 2007-07-08.
Clinton King Wong's current location address is 12810 Heacock St, Moreno Valley, California. You can contact this provider via phone number 9519242020 and fax number 9519247136. The mailing address for Clinton King Wong is 12810 Heacock St, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton King Wong |
|---|---|
| Address | 12810 Heacock St, Moreno Valley, California |
| Phone Number | 9519242020 |
| Fax Number | 9519247136 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1619003944 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12810 Heacock St |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925532854 |
| Phone Number | 9519242020 |
| Fax Number | 9519247136 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 7725T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0077250 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clinton King Wong by the Centers for Medicare & Medicaid Services?
The Clinton King Wong has been assigned the NPI (National Provider Identifier) 1619003944 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Clinton King Wong's facilities are geographically located?
The facilities of Clinton King Wong are physically situated at the following location: 12810 Heacock St, Moreno Valley, CA, 925532854.
What is Clinton King Wong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clinton King Wong is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
When did Clinton King Wong receive its 1619003944 assignment?
The Clinton King Wong was assigned its 1619003944 on 2007-02-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Clinton King Wong most recently updated or revised?
The information pertaining to Clinton King Wong, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC