Wong, Lyndon Charles

Wong, Lyndon Charles is an individual health care provider with primary practice located at 5330B South Blvd , Charlotte NC 28217-4116. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wong, Lyndon Charles can be contacted via phone (704) 525-9802.

Contact Information

Primary practice address
5330B South Blvd Charlotte NC 28217-4116
Phone: (704) 525-9802
Fax: (704) 523-2862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT 005474 New York
Eye and Vision Services Providers / Optometrist 152W00000X 2252 North Carolina

Profile Details

NPI number 1649244674
LBN Legal business name Wong, Lyndon Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 17th, 2018 - about 6 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 1649244674 NPPES
New York MEDICAID 00244528

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