Wong, Gene

Wong, Gene is an sole proprietor health care provider with primary practice located at 1316 E Hwy 377 , Granbury TX 76048-2548. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wong, Gene can be contacted via phone (682) 498-8750.

Contact Information

Primary practice address
1316 E Hwy 377 Granbury TX 76048-2548
Phone: (682) 498-8750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC5006 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 0618001953 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 7686T Texas

Profile Details

NPI number 1386955565
LBN Legal business name Wong, Gene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2010
Last updated Oct 23rd, 2022 - about 2 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 1386955565 NPPES
Florida Other 013636600 MEDICAID
Florida MEDICAID 287979301 MEDICAID

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