Active NPI
David Wong, O.D.
- Optometrist
- Buena Park, CA
National Provider Identifier
1255535159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13211
- Practice address
- 8450 La Palma Ave
Buena Park, CA 90620-3210 - Phone
- (714) 527-9236
- Fax
- (714) 527-5873
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 13211 | CA | Primary |
Addresses
Primary practice location
8450 La Palma Ave
Buena Park, CA 90620-3210
Mailing address
8450 La Palma Ave
Buena Park, CA 90620-3210
Phone (626) 222-1243
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8450 La Palma Ave
Buena Park, CA 90620-3210
Phone (714) 527-9236
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye RX, an Optometric Group | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients |
Locations
8450 La Palma Ave
Buena Park, CA 90620
Phone (714) 484-3555
1540 W Foothill Blvd
Upland, CA 91786
Phone (909) 920-0942
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
- Buena Park, CA
- NPI 1871921916
-
- Eyewear Supplier
- Riverside, CA
- NPI 1366598120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1255535159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 LA PALMA AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203210",
"telephone_number": "626-222-1243",
"fax_number": "714-527-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 LA PALMA AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203210",
"telephone_number": "714-527-9236",
"fax_number": "714-527-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.