Keith Michael Wong, OD

NPI #1568950657 in Fountain Valley, California

Provider Information

NPI Number: 1568950657
Entity Type: Individual
Name: Keith Michael Wong, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 25, 2018
Last Updated: Dec 16, 2025

Practice Location

Address: 18120 BROOKHURST ST
Address 2: STE 19
City: Fountain Valley
State: California
ZIP Code: 92708-6727
Phone: (949) 208-9009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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