Dennis Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13292 Issued in CA

Practice address

1366 S Riverside Ave
Rialto, CA 92376

Phone

(909) 421-2020

Fax

(909) 285-9586

NPI assigned

Jul 10, 2007

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wong Eyecare Associates, an Optometric CorporationGroup PAC ID 7911154265, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wong Eyecare Associates, an Optometric Corporation

  • Optometrist
  • Rialto, CA
  • NPI 1679859524
  Medicare reassignment Care Compare group NPD
• Cerritos 2020 Optometry a Proffesional Optometric Corporatio

  • Optometrist
  • Cerritos, CA
  • NPI 1851410773
  NPD (past)
• Dr Ami Patel, Optometrist

  • Optometrist
  • Diamond Bar, CA
  • NPI 1700093457
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1245438365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767608",
            "telephone_number": "909-421-2020",
            "fax_number": "909-990-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-421-2020",
            "fax_number": "909-285-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DENNIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245438365",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith K Wipf, D.D.S.
• Lee Trevenia Wiseman
• Dianne Kay Lassman Wolkenhauer, PHD
• Barbara Leigh Woloshin
• Wong Eyecare Associates, an Optometric Corporation
• Dixon Wong, O.D.
• Lawrence L. Wong, D.D.S.
• Norman C K Wong, MD
• Joyce M Woodbury-Harris
• Jacob Ryan Worrell, AMFT

• Optometrist in Rialto, CA
• Providers in Rialto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.