Alexander Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SD0104450 Issued in CA

Practice address

555 E Pacific Coast Hwy
Ste 101
Long Beach, CA 90806-5579

Phone

(562) 494-9958

Fax

(562) 494-0950

NPI assigned

Aug 26, 2005

Last updated

Apr 29, 2025By the provider in NPPES

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

Other identifiers 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexander Wong, O.D.

  • Medical Specialty Clinic/Center
  • Signal Hill, CA
  • NPI 1366716912
  NPD (past) Authorized official
• Ocular Institute of California, a Medical Corporation

  dba LaserPro Eye Laser Medical Center

  • Specialist
  • City of Industry, CA
  • NPI 1518132596
  NPD (past)
• Ocular Institute of California, a Medical Corporation

  dba LaserPro Eye Laser Medical Center, Inc.

  • Ophthalmology Physician
  • Rosemead, CA
  • NPI 1922164433
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1225021017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BLACKSTONE RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082721",
            "telephone_number": "909-825-2020",
            "fax_number": "909-825-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E PACIFIC COAST HWY",
            "address_2": "STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065579",
            "telephone_number": "562-494-9958",
            "fax_number": "562-494-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD0104450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0104450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Women in Transition Re-Entry Project Inc (Best Intentions Peer Services)
• Womens Surgical Associates Breast Specialists Medical Group, Inc.
• Megan Dongsun Won
• Joyce H Wondolowski, DPT, PHD
• San San Wong-Lee, M.D
• Aline Yen-Yin Wong, M.D.
• Andrew Wong
• Barbara Janis Wong, LMFT
• Bonnie X Wong, PHARM. D.
• Brittany Wong

• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.

Verify at the official NPI Registry.