Search › Michigan › 152W00000X
Kenneth Wong, O.D
NPI 1235198854 · on the registry since 2006 · sole proprietor
Practice
- Address
- 27118 Gratiot Ave
Roseville, MI 48066 - Phone
- (586) 745-0863
- Organisation at this address
- Mi Optometry Pc
Michigan Optometry Pc
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1301 Coolidge Hwy, Troy, MI
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan