Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY LAI YUU WONG, O.D.
Deactivated Sole ProprietorDR. RANDY LAI YUU WONG, O.D. is a Optometrist healthcare provider located in EDMONDS, Washington. NPI 1457345563 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · EDMONDS, WA
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457345563
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2005 (0.55616438356164 yrs)
- Last Updated
- Jan 15, 2019
- Deactivated
- Mar 24, 2006
- License
-
OD00003999 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22511 HIGHWAY 99STE 112EDMONDS, WA, 980268398Browse WA providers · Browse ZIP 98026
- Phone
- 4256709888
- Fax
- 4256702402
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in EDMONDS, WA
| Name | Credential | NPI |
|---|---|---|
| DR. TONY D. POOL | O.D. | 1003804014 |
| DR. DAVID RIGGS | OD | 1588653612 |
| DR. ARTHUR Y WONG | O.D. | 1811098262 |
| DR. KATHLEEN R WONG | O.D. | 1962503227 |
| DR. GLEN R OWEN | O.D. | 1174613715 |
| DR. MICHAEL W MEDIN | O.D. | 1730279498 |
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.