NPI 1457345563

Randy Lai Yuu Wong, OD

Practitioner Optometrist Edmonds, WA

Practice location

Address: 22511 Highway 99 STE 112, Edmonds, WA 98026-8398
Phone: (425) 670-9888
Fax: (425) 670-2402
Mailing address: 22511 Highway 99 112, Edmonds, WA 98026-8398

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00003999 (WA)

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Registry record

NPI: 1457345563
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2005
Record last updated: 15 Jan 2019

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.