MEDICARE: DR. MICHELLE W WONG O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	620	NV

General Provider Information

NPI Number	:	1053560656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE W WONG O.D.

Provider Business Mailing Address
First Line	:	6910 S RAINBOW BLVD
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3273
Country	:	US
Telephone Number	:	702-476-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	6910 S RAINBOW BLVD
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3273
Country	:	US
Telephone Number	:	702-476-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	06/14/2012

Similar Medicare Providers

1538314372 — CAVITYBUSTERS
Practice Location Address:

6910 S RAINBOW BLVD , #104
LAS VEGAS, NV
89118-3273

Practice Phone: 702-362-5437
Practice Fax: 702-631-5437

1912146234 — BRIGHT EYES OPTOMETRY, LLC
Practice Location Address:

6910 S RAINBOW BLVD , SUITE 102
LAS VEGAS, NV
89118-3273

Practice Phone: 702-476-2323
Practice Fax:

1730508383 — HENDRIX INVESTMENT GROUP LLC
Practice Location Address:

6671 LAS VEGAS BLVD S , BLDG D STE 210
LAS VEGAS, NV
89119-3273

Practice Phone: 702-389-5060
Practice Fax: 702-623-9254

1831501428 — CHRISTINA FONTENETTE
Practice Location Address:

6671 LAS VEGAS BLVD S STE 210
LAS VEGAS, NV
89119-3273

Practice Phone: 702-843-5845
Practice Fax:

1811394760 — AMARIS BELL
Practice Location Address:

6671 LAS VEGAS BLVD S # D210
LAS VEGAS, NV
89119-3273

Practice Phone: 714-448-0144
Practice Fax:

1003369992 — MONIQUE HOWARD
Practice Location Address:

6671 LAS VEGAS BLVD S , SUITE 210
LAS VEGAS, NV
89119-3273

Practice Phone: 888-723-6218
Practice Fax:

Directions to “ DR. MICHELLE W WONG O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.