Provider Demographics
NPI:1922158054
Name:WONG-PEARSON, MAY KATHRYN (OD)
Entity Type:Individual
Prefix:
First Name:MAY
Middle Name:KATHRYN
Last Name:WONG-PEARSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:WONG
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:7300 N FRESNO ST
Mailing Address - Street 2:PALM 2
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2941
Mailing Address - Country:US
Mailing Address - Phone:559-448-4622
Mailing Address - Fax:559-448-4258
Practice Address - Street 1:7300 N FRESNO ST
Practice Address - Street 2:PALM 2
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2941
Practice Address - Country:US
Practice Address - Phone:559-448-4622
Practice Address - Fax:559-448-4258
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8141 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist