Jennifer Kay Wong

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-34037TLG Issued in CA

Practice address

176 Sutter St
San Francisco, CA 94104

Phone

(415) 495-2020

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Jennifer Wong, O.D., Inc.

  • Clinic/Center
  • San Francisco, CA
  • NPI 1225766967
  NPD Authorized official
• Jennifer Quirante Professional Optometry Corp

  dba Rockaway Beach Optometry

  • Optometrist
  • Pacifica, CA
  • NPI 1003902842
  Medicare reassignment

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1114415692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94104",
            "telephone_number": "415-495-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT-34037TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@jenniferwongod.com",
            "affiliation": "N",
            "address_1": "176 Sutter St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941044001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Alan Wong, PHARM.D.
• Jenise Colleen Wong
• Jennice Wong, LCSW
• Jennie Wong
• Jennifer Wong, OTR/L
• Jenny Wong, DDS
• Jenny Ying Wong
• Jenson K. Wong, MD
• Jessica Wong, PHARMD
• Jessica Mei-Wen Wong, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.