Individual provider Active NPI

Melissa Mei Yiu Wong, M.D.

  • Ophthalmology Physician
  • Manchester, NH
National Provider Identifier
1114159993
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD2014-0194 Issued in NM
Practice address
764 2ND St
Manchester, NH 03102-5210
Phone
(603) 669-3925
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD2014-0194 NM Primary
Ophthalmology Physician 207W00000X 17540 NH

Addresses

Primary practice location

764 2ND St
Manchester, NH 03102-5210

Mailing address

764 2ND St
Manchester, NH 03102-5210
Phone (603) 669-3925

Other practice location 1

806 Dr. MLK Jr. Avenue, NE
Albuquerque, NM 87102
Phone (505) 842-6575

Other practice location 2

806 Dr. MLK Jr. Avenue, NE
Albuquerque, NM 87102
Phone (505) 842-6575

Other practice location 3

25 Buttrick Rd Ste C3
Londonderry, NH 03053-3353
Phone (603) 432-8801

Other identifiers 2

IdentifierTypeStateIssuer
47901811MedicaidNM
365735YTQZOtherNMMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213000823 NH Practitioner - Ophthalmology 6608096573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
NH Eye Associates PLLCGroup PAC ID 6608849823, 11 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

764 2ND St
Manchester, NH 03102-5210
Phone (603) 669-3925

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17540NHMDOphthalmology Physician
MD2014-0194NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NH Eye Associates PLLC Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients
Elliot Professional Services CurrentSince May 15, 2023 Accepting new patients
Pinnacle Rehabilitation Network LLC PastSince Jan 1, 2017 Accepting new patients
Amoskeag Health PastSince Sep 1, 2019 Accepting new patients

Locations

25 Buttrick Rd
Ste C3
Londonderry, NH 03053
Phone (603) 432-8801

1415 Elm St
Manchester, NH 03101
Phone (603) 669-3925

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

764 2nd St
Manchester, NH 03102
Phone (603) 669-3925

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1114159993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025210",
            "telephone_number": "603-669-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025210",
            "telephone_number": "603-669-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Dr. MLK Jr. Avenue, NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87102",
            "country_code": "US",
            "telephone_number": "505-842-6575",
            "fax_number": "505-243-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Dr. MLK Jr. Avenue, NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87102",
            "country_code": "US",
            "telephone_number": "505-842-6575",
            "fax_number": "505-243-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Buttrick Rd Ste C3",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533353",
            "country_code": "US",
            "telephone_number": "603-432-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MELISSA",
        "middle_name": "MEI YIU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2014-0194",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "17540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47901811",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "365735YTQZ",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.