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Contact Information

JENNIFER A WONG, OD
28825 RYAN RD
WARREN, MI48092-4128
 Phone: 586-573-0470
 Fax: 586-573-0648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for JENNIFER A WONG · (Female)

NPI Number 1346303856
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/18/2006
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4901003737
Hospital affiliation(s)
  • WILLIAM BEAUMONT HOSPITAL - (Acute Care)
    3601 W THIRTEEN MILE RD
    ROYAL OAK, MI 48073
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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