Most Relevant Information
Provider Data
| NPI Number: | 1003196049 |
| Provider Name: | CHRISTOPHER JEFFREY FONG O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 14221 |
Most Important Dates
| Enumeration Date: | 08/22/2011 |
| Last Updated: | 08/22/2011 |
Provider Practice Location
1104A STONERIDGE MALL RD
PLEASANTON
CA
945883219
Practice Location Phone/Fax
| Phone: | 9254633521 |
| Fax: |
Provider Mailing Location
2422 DELMER ST
OAKLAND
CA
946023017
Provider Mailing Phone/Fax
| Phone: | 5105301601 |
| Fax: |