Keith Yun Kong Wong, O.D.

Optometrist · Modesto, CA

Individual Active NPI

NPI number 1336201615

Practice location

3401 Dale Rd
Suite 300
Modesto, CA 95356-0505
Phone
(209) 574-0710
Fax
(209) 529-9030

Open in Google Maps

NPI record

NPI
1336201615
Entity type
Individual (Type 1)
Enumeration date
December 14, 2006
Last updated
March 7, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 8152T CA

Mailing address

1608 Lavender Ln
Modesto, CA 95355-3771
Phone
(209) 521-5709

About Dr. Wong

Keith Yun Kong Wong, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505. The NPI number 1336201615 was assigned on December 14, 2006 and the record was last updated on March 7, 2023.

Dr. Wong lists a license in the registry: #8152T (CA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Yun Kong Wong, O.D.?

The NPI number is 1336201615.

What is the phone number of Dr. Wong?

The phone number listed for the practice location is (209) 574-0710.

Where is Dr. Wong located?

3401 Dale Rd, Suite 300, Modesto, CA 95356-0505.

What is the taxonomy code for Dr. Wong?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Optometrist providers in Modesto

All Optometrist providers in Modesto, CA →