Organization Active NPI

Dr. Gene Wong & Associates, P.a.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1134412190
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7686TG Issued in TX
Legal business name
DR. GENE WONG & ASSOCIATES, P.A.
Practice address
9500 Clifford St
Fort Worth, TX 76108-4403
Phone
(817) 367-7100
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. Gene Wong, O.D.
Title
President
Phone
(757) 746-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7686TG TX Primary

Addresses

Primary practice location

9500 Clifford St
Fort Worth, TX 76108-4403

Mailing address

745 W Hidden Creek Pkwy
#222
Burleson, TX 76028-5793

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1134412190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W HIDDEN CREEK PKWY",
            "address_2": "#222",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CLIFFORD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084403",
            "telephone_number": "817-367-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GENE WONG & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-746-3536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7686TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.