Kwong, Avon Wai

Kwong, Avon Wai is an sole proprietor health care provider with primary practice located at 611 Broadway , San Francisco CA 94133-4405. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kwong, Avon Wai can be contacted via phone (415) 982-0388.

Contact Information

Primary practice address
611 Broadway San Francisco CA 94133-4405
Fax: (415) 217-7010
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9376TPL California

Profile Details

NPI number 1427029123
LBN Legal business name Kwong, Avon Wai
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Aug 6th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427029123 NPPES
California MEDICAID SD0093760

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