Healthcare Provider Details

I. General information

NPI: 1770256000
Provider Name (Legal Business Name): MICHELLE WONG OPTOMETRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W PLUMB LN STE A
RENO NV
89509-3688
US

IV. Provider business mailing address

9700 S MCCARRAN BLVD
RENO NV
89523-9203
US

V. Phone/Fax

Practice location:
  • Phone: 775-284-3937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY HARRISON
Title or Position: DIRECRTOR
Credential:
Phone: 916-851-6611