Elton K. Wong Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELTON K. WONG OPTOMETRIC CORPORATION

Doing business as

Mirror Vision Optometry

Practice address

1750 Story Rd
San Jose, CA 95122-1921

Phone

(408) 678-0340

Fax

(408) 678-0341

NPI assigned

Nov 14, 2024

Last updated

Jan 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elton K Wong, ODNPI 1811620693

Title

Optometrist

Phone

(650) 291-4632

Specialties & licenses 1

Addresses

Other names 1

• MIRROR VISION OPTOMETRY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elton K Wong, OD

  • Optometrist
  • San Jose, CA
  • NPI 1811620693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1073337226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940300078",
            "telephone_number": "408-678-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221921",
            "telephone_number": "408-678-0340",
            "fax_number": "408-678-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Riverpoint Ct",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956051654",
            "country_code": "US",
            "telephone_number": "279-233-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5821 Antelope Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95842",
            "country_code": "US",
            "telephone_number": "279-221-7991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3661 Truxel Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958343617",
            "country_code": "US",
            "telephone_number": "279-233-2991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELTON K. WONG OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "650-291-4632",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRROR VISION OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIRROR VISION OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.