Active NPIIndividual providerSole proprietor

Dr. Cecil C Wong, OD

Optometrist in Maple Shade, New Jersey

NPI Number1497816136
Practice location
490 S Lenola RD Ste B, Maple Shade, NJ 08052-1618
Fax
856-787-9754
Last updated
July 8, 2007

Cecil C. Wong is an Optometrist based in Maple Shade, NJ. Cecil C. Wong practices in Maple Shade, NJ and has the professional credentials of OD. The NPI Number for Cecil C. Wong is 1497816136 and holds a License No. 27OA00484700 (NJ). The current practice location address for Cecil C. Wong is 490 S Lenola RD Ste B, Maple Shade, NJ 08052-1618 and can be reached out via phone at 856-787-9875 and via fax at 856-787-9754.

Provider Profile Details

NPI Number
1497816136
Provider Name
Cecil C. Wong
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
490 S Lenola RD Ste B, Maple Shade, NJ 08052-1618
Phone Number
856-787-9875
Fax Number
856-787-9754
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
490 S Lenola RD Ste B
Maple Shade, NJ 08052-1618
Zip
08052-1618
Phone Number
856-787-9875
Fax Number
856-787-9754
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
490 S Lenola RD Ste B
Maple Shade, NJ 08052-1618
City
Maple Shade
State
NJ
Zip
08052-1618
Phone Number
856-787-9875
Fax Number
856-787-9754

License Information

License Number
27OA00484700
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Cecil C Wong, OD?

The NPI number of Dr. Cecil C Wong, OD is 1497816136. It was assigned on December 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Cecil C Wong, OD?

Dr. Cecil C Wong, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00484700.

Where does Dr. Cecil C Wong, OD practice?

The practice location is 490 S Lenola RD Ste B, Maple Shade, NJ 08052-1618. The office can be reached at 856-787-9875 (phone) or 856-787-9754 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497816136 directly on the NPPES registry website.

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