Whalio Doctors

NPI 1053646133

Kelvin Kiu Wing So, OD

Practitioner Corneal and Contact Management Optometrist Forest Grove, OR

Practice location

Address
2043 College Way, Forest Grove, OR 97116-1756
Phone
(503) 880-1381
Mailing address
2543 NW Overlook Dr APT 127, Hillsboro, OR 97124-7606

Registered specialties (2)

Corneal and Contact Management Optometrist Primary
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 3414ATI (OR)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3414ATI (OR)

Registry record

NPI
1053646133
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Oct 2009
Record last updated
14 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.