Provider Demographics
NPI:1093196560
Name:WANG, STEVEN HENGCHIH (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HENGCHIH
Last Name:WANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 APRILLA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-0229
Mailing Address - Country:US
Mailing Address - Phone:714-209-9683
Mailing Address - Fax:
Practice Address - Street 1:22 ODYSSEY STE 150
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3196
Practice Address - Country:US
Practice Address - Phone:949-733-3390
Practice Address - Fax:949-461-1461
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15239152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist