MEDICARE: MICHELLE WONG OPTOMETRY PC

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

General Provider Information

NPI Number	:	1770256000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE WONG OPTOMETRY PC

Provider Business Mailing Address
First Line	:	9700 S MCCARRAN BLVD
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-9203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W PLUMB LN STE A
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3688
Country	:	US
Telephone Number	:	775-284-3937
Fax Number	:

Authorized Official
Title or Position	:	DIRECRTOR
Name	:	BRITTANY HARRISON
Credential	:
Telephone Number	:	916-851-6611

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	08/12/2025

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