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NPI Code Detail

MEDICARE: WILSON HUNG OD

MEDICARE: WILSON HUNG OD
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
1152W00000XOptometrist9260TTX

General Provider Information

NPI Number : 1245751510
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILSON HUNG OD
Provider Business Mailing Address
First Line : 5900 COIT RD
Second Line :
City : PLANO
State : TX
Zip : 75023-5959
Country : US
Telephone Number : 972-985-1412
Fax Number : 972-945-2125
Provider Business Practice Location Address
First Line : 5900 COIT RD
Second Line :
City : PLANO
State : TX
Zip : 75023-5959
Country : US
Telephone Number : 972-985-1412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2017
Last Update Date : 07/17/2023

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