DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VERNON WONG, OD

Active Sole Proprietor

Optometrist · CUSTER, SD

Registration Details

NPI Number
1245360510
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2007 (19.161970208052 yrs)
Last Updated
Jul 8, 2007
License
1236 (NE)
Sole Proprietor
Yes

Practice Information

Address
25229 PINTO LN
CUSTER, SD, 577307218
Browse SD providers · Browse ZIP 57730
Phone
6056735663
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CUSTER, SD

Name Credential NPI
DR. NATHAN HENRY WIEDERHOLT O.D. 1447414461
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.