Active NPI
Dr. Wong & Associates, LTD.
- Optometrist
- Danbury, CT
National Provider Identifier
1114078169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CT002529
- Legal business name
- DR. WONG & ASSOCIATES, LTD.
- Practice address
- 7 Backus Ave Ste 250
Danbury, CT 06810-7493 - Phone
- (203) 743-9897
- Fax
- (203) 743-6419
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivan Wong, O.D.
- Title
- President
- Phone
- (203) 743-9897
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT002529 | CT | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | CT002529 | CT |
Addresses
Primary practice location
7 Backus Ave Ste 250
Danbury, CT 06810-7493
Mailing address
7 Backus Ave Ste 250
Danbury, CT 06810-7493
Phone (203) 743-9897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C03256 | Other | CT | MEDICARE LEGACY BILLING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18 Mill Plain Rd
Danbury, CT 06811
Phone (203) 743-9897
7 Backus Ave
Ste 250
Danbury, CT 06810
Phone (203) 743-9897
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Danbury, CT
- NPI 1023170073
-
- Optometrist
- Greenwich, CT
- NPI 1083054217
-
- Optometrist
- Danbury, CT
- NPI 1073666582
-
- Optometrist
- Orange, CT
- NPI 1497031181
-
- Optometrist
- Darien, CT
- NPI 1013166651
-
- Optometrist
- Seattle, WA
- NPI 1174776124
-
- Optometrist
- N/a, AZ
- NPI 1326100298
-
- Optometrist
- Croton on Hudson, NY
- NPI 1336331545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1114078169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BACKUS AVE STE 250",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107493",
"telephone_number": "203-743-9897",
"fax_number": "203-743-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BACKUS AVE STE 250",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107493",
"telephone_number": "203-743-9897",
"fax_number": "203-743-6419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. WONG & ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-743-9897",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CT",
"license": "CT002529",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CT",
"license": "CT002529",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY BILLING",
"identifier": "C03256",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.