Jonathan Michael Fong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34224 Issued in CA

Practice address

1372 9TH Ave
San Francisco, CA 94122-2309

Phone

(415) 664-3600

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Fong and Wong Optometry, Inc.

  • Optometrist
  • San Francisco, CA
  • NPI 1497519813
  NPD Authorized official
• Brian Fong, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1740304815
  Medicare reassignment

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1134786338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 9TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222309",
            "telephone_number": "415-664-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 9TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222309",
            "telephone_number": "415-664-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeni Fong
• Jennifer K Fong, DPM
• Jimmy Fong, O.D.
• Jodie Fong
• Johnnie Fong, DDS
• Joseph Moy Fong, MD
• Justin Phillip Fong, M.D.
• Ka Yan Mary Fong, DDS
• Kenneth L Fong, D.D.S
• Kenton D Fong, 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 May 22, 2019; 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.