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NPI 1376637405

IndividualActive

Brunswick Wong, O.D.

NPI 1376637405 · Optometrist · Greenville, MS

Provider details

NPI number: 1376637405
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: Yes
License: 452 (MS)

Practice location

411 Fairview Ave

Greenville, MS 38701-4816

Phone: (662) 332-7229

Fax: (662) 378-3949

More MS providers

Mailing address

411 Fairview Ave

Greenville, MS 38701-4816

Registry dates

Enumerated: 2006-10-03
Last updated: 2008-02-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brunswick Wong, O.D. — NPI 1376637405, Greenville, MS | NPI Central