| Keith Michael Wong, OD | |
|
18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727 | |
| (949) 208-9009 | |
| Not Available |
| Full Name | Keith Michael Wong |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 18120 Brookhurst St, Fountain Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568950657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5295 (Massachusetts) | Secondary |
| 152W00000X | Optometrist | 11124T (Texas) | Secondary |
| 152W00000X | Optometrist | 34715 (California) | Primary |
| Provider Name | Custom Eyes Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548472921 PECOS PAC ID: 8820008006 Enrollment ID: O20060502000896 |
| Provider Name | Hannah Cho Optometry 3, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801471735 PECOS PAC ID: 1850797580 Enrollment ID: O20210904000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Michael Wong, OD 18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727 Ph: (714) 508-4975 | Keith Michael Wong, OD 18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727 Ph: (949) 208-9009 |
Sako And Kame Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 18449 Brookhurst St Ste 6, Fountain Valley, CA 92708 Phone: 714-963-2111 | |
Dr. Barbara B. Fineberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18449 Brookhurst St, Suite 6, Fountain Valley, CA 92708 Phone: 714-963-2111 Fax: 714-963-4246 | |
Firssight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17099 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-965-1070 | |
Dr. Dan B. Carver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave Ste 261, Fountain Valley, CA 92708 Phone: 714-263-0800 Fax: 714-263-2336 | |
Dr. Gordon Kiyoshi Ota, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10130 Warner Ave, Suite J, Fountain Valley, CA 92708 Phone: 714-965-5130 | |
Seiju E. Terada, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10130 Warner Ave Ste J, Fountain Valley, CA 92708 Phone: 714-965-5130 Fax: 714-965-8265 | |
Crystal Vision Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 16125 Harbor Blvd, Fountain Valley, CA 92708 Phone: 714-531-9900 Fax: 714-531-0236 |