Individual provider Active NPI

Meimey Tan Wong, O.D.

  • Optometrist
  • Mukilteo, WA
National Provider Identifier
1134484330
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60291407 Issued in WA
Practice address
11700 Mukilteo Speedway Ste 501
Mukilteo, WA 98275-5444
Phone
(425) 315-8300
Fax
(425) 315-8900
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 60291407 WA Primary

Addresses

Primary practice location

11700 Mukilteo Speedway Ste 501
Mukilteo, WA 98275-5444

Mailing address

11700 Mukilteo Speedway Ste 501
Mukilteo, WA 98275-5444
Phone (425) 745-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20130720000316 WA Practitioner - Optometry 4789825514 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Visionary Eyecare PLLCGroup PAC ID 8224441357, 4 clinicians

Practice addresses (Care Compare)

11700 Mukilteo Speedway
Suite 501
Mukilteo, WA 98275-5444
Phone (425) 315-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60291407WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Nov 26, 2020 Accepting new patients
Post Acute Optometry LLC Single Specialty CurrentSince Jan 22, 2024 Accepting new patients
Pacific Eyecare Professionals Inc Optometrist Current Accepting new patients
Dr. Stephen Nevett and Associates, P.C. Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Nov 26, 2020 Accepting new patients
Mill Creek Eye and Contact Lens Clinic, Inc. Optometrist CurrentSince Jun 30, 2015 Accepting new patients
Luxottica of America Inc PastSince Jun 1, 2023 Accepting new patients
Dr. Yousim Chhim LLC Optometrist Past Accepting new patients

Locations

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

15650 NE 24th St
Ste B
Bellevue, WA 98008
Phone (425) 215-0255

11901 NE Village Plz
Ste 169
Kirkland, WA 98034
Phone (425) 602-6152

15808 Mill Creek Blvd
Ste 110
Mill Creek, WA 98012
Phone (425) 745-5650

11700 Mukilteo Speedway
Ste 501
Mukilteo, WA 98275
Phone (425) 315-8300

401 NE Northgate Way
Spc 1101
Seattle, WA 98125
Phone (206) 364-1668

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1134484330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755444",
            "telephone_number": "425-745-5650",
            "fax_number": "425-315-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755444",
            "telephone_number": "425-315-8300",
            "fax_number": "425-315-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MEIMEY",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60291407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

Verify at the official NPI Registry.