Individual provider Active NPI

Christopher Wong

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1063158137
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2710 Issued in AZ
Practice address
246765 N 23Rd Avenue Suite 110
Phoenix, AZ 85085
Phone
(925) 998-3444
NPI assigned
May 10, 2022
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2710 AZ Primary

Addresses

Primary practice location

246765 N 23Rd Avenue Suite 110
Phoenix, AZ 85085

Mailing address

6501 W Molly LN
Phoenix, AZ 85083-6516
Phone (925) 998-3444

Other practice location 1

24890 N Lake Pleasant Pkwy
Peoria, AZ 85383-1348
Phone (623) 362-3914

Other practice location 2

7870 W Bell Rd Ste 110
Glendale, AZ 85308-8692
Phone (623) 226-7012

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230824002059 AZ Practitioner - Optometry 8123409166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Arizona, PCGroup PAC ID 0244313179, 5 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-3709
Phone (623) 878-3939

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1063NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians & Surgeons of Arizona, PC CurrentSince Jul 12, 2023 Accepting new patients
Modern Sight Eyecare PLLC Optometrist Past Accepting new patients

Locations

6677 W Thunderbird Rd
Glendale, AZ 85306
Phone (623) 255-4180

6677 W Thunderbird Rd
Ste 101
Glendale, AZ 85306

6677 W Thunderbird Rd
Ste F101
Glendale, AZ 85306

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1615/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1063158137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 W MOLLY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836516",
            "telephone_number": "925-998-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246765 N 23RD AVENUE SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "925-998-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24890 N Lake Pleasant Pkwy",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853831348",
            "country_code": "US",
            "telephone_number": "623-362-3914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7870 W Bell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088692",
            "country_code": "US",
            "telephone_number": "623-226-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.