Tara Camille Wong-Chiou, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008163-1 Issued in NY

Practice address

577 2ND Ave
New York, NY 10016-6377

Phone

(650) 714-6052

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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.

• Murray Hill Optical LTD

  • Optometrist
  • New York, NY
  • NPI 1316755036
  Medicare reassignment NPD
• Murray Hill Optical 3Rd Ave

  • Ophthalmology Physician
  • New York, NY
  • NPI 1215726435
  NPD
• Optic Shades

  • Eyewear Supplier
  • New York, NY
  • NPI 1285103572
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1023417243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E 38TH ST APT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166377",
            "telephone_number": "650-714-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG-CHIOU",
        "first_name": "TARA",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngsun Won
• Wonder Kids TC Nyc LLC
• Sarah Wondmeneh
• Kim Moi Wong Lama, M.D.
• Suey Lyn Wong Urena, MD
• Suzie Wong-Lo, LCSW
• Elaina Victoria Wong-Serrano
• Jeannette Rosa Wong-Siegel, MD
• Aaron Wong, MD
• Agnes Wong, FNP-BC

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.