Dr Kenneth Kang Wa Wong, OD | |
27118 Gratiot Ave, Roseville, MI 48066-2915 | |
(586) 745-0863 | |
Not Available |
Full Name | Dr Kenneth Kang Wa Wong |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 27118 Gratiot Ave, Roseville, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235198854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004359 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crystal Vision Consultants Llc | 1052677424 | 3 |
Provider Name | Crystal Vision Consultants Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184133498 PECOS PAC ID: 1052677424 Enrollment ID: O20171117002335 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Kang Wa Wong, OD 2211 S Telegraph Rd Unit 7061, Bloomfield Hills, MI 48302-4802 Ph: (586) 745-0863 | Dr Kenneth Kang Wa Wong, OD 27118 Gratiot Ave, Roseville, MI 48066-2915 Ph: (586) 745-0863 |
Dr. Erin Noel Hitzelburger, OD, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 32600 Gratiot Ave, Roseville, MI 48066 Phone: 586-294-0120 Fax: 586-294-6623 | |
Dr. Saira Nishath Khan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 28804 Gratiot Ave, Roseville, MI 48066 Phone: 630-276-6285 | |
Rami Issa, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 29138 Gratiot Ave, Roseville, MI 48066 Phone: 586-541-0747 | |
Dr. Megan Lyle, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 32453 Gratiot Ave, Sp 530, Roseville, MI 48066 Phone: 586-296-8000 Fax: 586-296-8514 | |
Dr. Michael Morski, Optometrist Medicare: Medicare Enrolled Practice Location: 27118 Gratiot Ave, Roseville, MI 48066 Phone: 586-745-0863 | |
Dr. Adam Michael Castle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 29138 Gratiot Ave, Roseville, MI 48066 Phone: 586-541-0747 |