| NPI | 1972688513 |
|---|---|
| Former Legal Business Name | WILLIAM WONG AND DOUGLAS LEO, O.D. |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J. LEO Owner 909-428-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 06988) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-02-20 |