Carson K. Wong, O.D.

LBN: Carson K. Wong, O.D.
Carson K. Wong, O.D. is an health care organization with primary practice located at 13620 38Th Ave Ste 5B , Flushing NY 11354-4264. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Carson K. Wong, O.D. can be contacted via phone (646) 355-8393, or through Wong, Carson K via phone (646) 355-8393.

Contact Information

Primary practice address
13620 38Th Ave Ste 5B Flushing NY 11354-4264
Phone: (646) 355-8393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wong, Carson K
Phone: (646) 355-8393

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007444 New York

Profile Details

NPI number 1730416611
LBN Legal business name Carson K. Wong, O.D.
DBA Doing business as
Authorized official Wong, Carson K
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2009
Last updated Jan 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730416611 NPPES
New York MEDICAID 03170569

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