Individual provider · Type 1 NPI

Alice Yiran Gong

Optometrist · Jenks, OK

NPI number 1558217992 Active

Practice location

224 S Gateway Pl Ste 101
Jenks, OK 74037-3448

Mailing address

1558 W Swan Pl
Chandler, AZ 85286-5149

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X3343 (OK)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1558217992

Alice Yiran Gong's National Provider Identifier is 1558217992, issued on Mar 9, 2026. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Jenks, OK. The record was last updated on Jul 30, 2026.