Wong, Keith Michael

Wong, Keith Michael is an individual health care provider with primary practice located at 18120 Brookhurst St Ste 19, Fountain Valley CA 92708-6727. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wong, Keith Michael can be contacted via phone (949) 208-9009.

Contact Information

Primary practice address
18120 Brookhurst St Ste 19 Fountain Valley CA 92708-6727
Phone: (949) 208-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100657 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X 34715 California
Eye and Vision Services Providers / Optometrist 152W00000X 11124T Texas
Eye and Vision Services Providers / Optometrist 152W00000X 5295 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X OPT-OPT-LIC-5171 Montana
Eye and Vision Services Providers / Optometrist 152W00000X 011064 New York

Profile Details

NPI number 1568950657
LBN Legal business name Wong, Keith Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Dec 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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