NPI 1760450845

John Gerald Wing, OD

Practitioner Optometrist Ceres, CA

Practice location

Address: 1901 Mitchell Rd, Ceres, CA 95307-2400
Phone: (209) 537-8971
Fax: (209) 537-8974
Mailing address: P.O. Box 186, Ceres, CA 95307-2400

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5018T (CA)

Other Optometrist providers in California →

Registry record

NPI: 1760450845
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2006
Record last updated: 22 May 2012

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.