Organization Active NPI

David Wong, O.D., Visio Optometry, Inc.

  • Optometrist
  • Valencia, CA
National Provider Identifier
1154873040
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11979TLG Issued in CA
Legal business name
DAVID WONG, O.D., VISIO OPTOMETRY, INC.
Practice address
24201 Valencia Blvd
2302
Valencia, CA 91355-1861
Phone
(661) 287-9023
Fax
(661) 287-3831
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. David Wong, O.D.NPI 1013069418
Title
Optometrist
Phone
(626) 483-8304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT11979TLG CA Primary

Addresses

Primary practice location

24201 Valencia Blvd
2302
Valencia, CA 91355-1861

Mailing address

24201 Valencia Blvd
2302
Valencia, CA 91355-1861
Phone (661) 287-9023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123002610 CA Part B Supplier - Clinic/Group Practice 8820409808 Receives reassigned benefits from 2 practitioners
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

24201 Valencia Blvd
Ste 3546
Valencia, CA 91355
Phone (661) 287-9024

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1154873040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24201 VALENCIA BLVD",
            "address_2": "2302",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551861",
            "telephone_number": "661-287-9023",
            "fax_number": "661-287-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24201 VALENCIA BLVD",
            "address_2": "2302",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551861",
            "telephone_number": "661-287-9023",
            "fax_number": "661-287-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WONG, O.D., VISIO OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-483-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11979TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.