Dr Li Jung Wang, OD | |
3200 Inland Empire Blvd Ste 140, Ontario, CA 91764-5569 | |
(800) 805-2737 | |
Not Available |
Full Name | Dr Li Jung Wang |
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Gender | Female |
Speciality | Optometrist |
Location | 3200 Inland Empire Blvd Ste 140, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235444605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12375 (California) | Primary |
Provider Name | Wang Optometric Associates, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609179803 PECOS PAC ID: 7618152810 Enrollment ID: O20110504000217 |
Mailing Address | Practice Location Address |
---|---|
Dr Li Jung Wang, OD 1713 N Palm Ave, Upland, CA 91784-1957 Ph: (951) 704-6358 | Dr Li Jung Wang, OD 3200 Inland Empire Blvd Ste 140, Ontario, CA 91764-5569 Ph: (800) 805-2737 |
Flow Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Mills Cir, 1016, Ontario, CA 91764 Phone: 909-481-1083 Fax: 909-484-2060 | |
Simpson & Duran Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 W 6th St, Suite 150, Ontario, CA 91762 Phone: 909-986-0918 Fax: 909-984-4918 | |
Dr. Vinnie Tieu, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4275 Concours Ste 100, Ontario, CA 91764 Phone: 909-476-7768 Fax: 909-476-7396 | |
Sara Drake, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2156 E Alondra St, Ontario, CA 91764 Phone: 909-717-9636 | |
Elizabeth Anne Simpson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 W 6th St, Suite 150, Ontario, CA 91762 Phone: 909-986-0918 Fax: 909-984-4918 | |
Jason Kang Lee, Optometrist Medicare: Medicare Enrolled Practice Location: 3155 Sedona Ct Ste 100, Ontario, CA 91764 Phone: 909-698-9780 Fax: 909-974-0356 |