Aleta B. Gong-Tang, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALETA B. GONG-TANG, OD, PC

Practice address

16020 N 35TH Ave Ste 2
Phoenix, AZ 85053-3823

Phone

(602) 547-3255

Fax

(602) 375-9580

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Todd Pratt

Title

Office Manager

Phone

(602) 547-3255

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

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

• Aleta Belinda Gong, O.D.

  • Vision Therapy Optometrist
  • Phoenix, AZ
  • NPI 1003887944
  Medicare reassignment NPD
• Thomas Blake Hunter, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1144920398
  Medicare reassignment NPD
• Jacob Richard Bromley, OD

  • Optometrist
  • Somerton, AZ
  • NPI 1992310312
  NPD (past)
• Eric Steven Bushman, O.D

  • Optometrist
  • Phoenix, AZ
  • NPI 1992226237
  NPD (past)
• Dawn Spirk Heffelfinger, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1770653271
  NPD (past)
• Linda Thi Trinh, O.D.

  • Optometrist
  • Peoria, AZ
  • NPI 1235594938
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1235301896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 N 35TH AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533823",
            "telephone_number": "602-547-3255",
            "fax_number": "602-375-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 N 35TH AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533823",
            "telephone_number": "602-547-3255",
            "fax_number": "602-375-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALETA B. GONG-TANG, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-547-3255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Z",
            "identifier": "Z103102",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdulrahman A a a M Alenezi, MD
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• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.