Aleta Belinda Gong, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

AZ 835 Issued in AZ

Practice address

16020 N 35TH Ave
Phoenix, AZ 85053-3822

Phone

(602) 547-3255

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

7.5 of 100Reported as individual

Quality

15

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aleta B. Gong-Tang, OD, PC

  • Optometrist
  • Phoenix, AZ
  • NPI 1235301896
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1003887944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 11585",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533822",
            "telephone_number": "602-547-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "ALETA",
        "middle_name": "BELINDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AZ",
            "license": "AZ 835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID #",
            "identifier": "Z103102",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "860840518",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Ann Gonder, OT
• Gondra Center for Ivf Laboratories
• Gondra Center for Reproductive Care & Advanced Gynecology
• Maria Mercedes Gondra, M.D.
• Abebe Molla Gonet, RPH
• Gerald D Gong, M.D.
• Shaquonda Gongora, RN
• Janet Gonneville, OT
• Isabella Brianna Gonsalves, DMD
• Robert Gonsalves III, DO

• Vision Therapy Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Vision Therapy Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.