Active NPI
Caitlyn Anna Lee Wong, OD
- Optometrist
- Denver, CO
National Provider Identifier
1194371138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0003521
- Practice address
- 1407 W 84TH Ave Unit B8
Denver, CO 80260-4753 - Phone
- (720) 214-4746
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003521 | CO | Primary |
Addresses
Primary practice location
1407 W 84TH Ave Unit B8
Denver, CO 80260-4753
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT.0003521 | Other | CO | CO OPTOMETRY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13695 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 450-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Eye Care, PC | Optometrist | Current | Accepting new patients |
| Vision & Eye Health Associates | Optometrist | Past | Accepting new patients |
Locations
13695 Colorado Blvd
Thornton, CO 80602
Phone (303) 450-2020
Organizations & group practices 2
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.
-
- Optometrist
- Thornton, CO
- NPI 1326360900
-
- Optometrist
- Lake Geneva, WI
- NPI 1487704128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1194371138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "719-576-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 W 84TH AVE UNIT B8",
"city": "DENVER",
"state": "CO",
"postal_code": "802604753",
"telephone_number": "720-214-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CAITLYN",
"middle_name": "ANNA LEE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO OPTOMETRY LICENSE",
"identifier": "OPT.0003521",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.