Provider Demographics
NPI:1922305176
Name:DORIS WONG, O.D. & JAMES F. WILLIAMSON, O.D., P.C.
Entity Type:Organization
Organization Name:DORIS WONG, O.D. & JAMES F. WILLIAMSON, O.D., P.C.
Other - Org Name:NEVADA EYE CARE OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:JOINT OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-558-6308
Mailing Address - Street 1:2090 E FLAMINGO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5131
Mailing Address - Country:US
Mailing Address - Phone:702-734-9600
Mailing Address - Fax:702-733-0434
Practice Address - Street 1:2090 E FLAMINGO RD
Practice Address - Street 2:STE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5131
Practice Address - Country:US
Practice Address - Phone:702-734-9600
Practice Address - Fax:702-733-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV618 AND 640152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty