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NPI Code Detail

MEDICARE: DR. PHILIP ONG O.D.

MEDICARE:  DR. PHILIP  ONG  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
1152WP0200XPediatric Optometrist7548TCA

General Provider Information

NPI Number : 1083769905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP ONG O.D.
Provider Business Mailing Address
First Line : 6531 CROWN BLVD STE 4
Second Line :
City : SAN JOSE
State : CA
Zip : 95120-2906
Country : US
Telephone Number : 408-997-2020
Fax Number : 408-904-7655
Provider Business Practice Location Address
First Line : 6531 CROWN BLVD STE 4
Second Line :
City : SAN JOSE
State : CA
Zip : 95120-2906
Country : US
Telephone Number : 408-997-2020
Fax Number : 408-904-7655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/26/2007

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Directions to “ DR. PHILIP ONG O.D.” Practice Location

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