Healthcare Provider Details

I. General information

NPI: 1093583759
Provider Name (Legal Business Name): VERNON K. W. WONG, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 S KING ST STE 423
HONOLULU HI
96814-2600
US

IV. Provider business mailing address

1481 S KING ST STE 423
HONOLULU HI
96814-2600
US

V. Phone/Fax

Practice location:
  • Phone: 808-942-9686
  • Fax: 808-951-4122
Mailing address:
  • Phone: 808-942-9686
  • Fax: 808-951-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VERNON WONG
Title or Position: OWNER
Credential: M.D.
Phone: 808-942-9686