Kong, Jacky Kin Wai

Kong, Jacky Kin Wai is an individual health care provider with primary practice located at 940 Commonwealth Ave Boston, Boston MA 02215-1203. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kong, Jacky Kin Wai can be contacted via phone (617) 262-2020.

Contact Information

Primary practice address
940 Commonwealth Ave Boston Boston MA 02215-1203
Phone: (617) 262-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4689 Massachusetts
Eye and Vision Services Providers / Pediatrics 152WP0200X 4689 Massachusetts

Profile Details

NPI number 1851556021
LBN Legal business name Kong, Jacky Kin Wai
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2008
Last updated Jul 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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