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:
Health care specialties
Specialty | Code | License # | 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 17 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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