Provider Demographics
NPI:1740275098
Name:WONG, DEBORAH MEI (OD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:MEI
Last Name:WONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 STONECREST CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-6459
Mailing Address - Country:US
Mailing Address - Phone:281-482-2823
Mailing Address - Fax:
Practice Address - Street 1:5000 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5613
Practice Address - Country:US
Practice Address - Phone:713-623-2000
Practice Address - Fax:713-623-2007
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4898TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D2884Medicare ID - Type Unspecified
U52614Medicare UPIN
8D2390Medicare ID - Type Unspecified