Jonathan T Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5607TG Issued in TX

Practice address

12420 FM 1960 Rd W
Houston, TX 77065-4809

Phone

(832) 237-1688

Fax

(832) 237-3905

NPI assigned

Jun 8, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

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 and National Provider Directory roles.

• Jonathan T Wong OD PC

  • Optometrist
  • Houston, TX
  • NPI 1407058605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1265473789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654809",
            "telephone_number": "832-237-1688",
            "fax_number": "832-237-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654809",
            "telephone_number": "832-237-1688",
            "fax_number": "832-237-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5607TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahg Wong, MD
• Janice Elizabeth Wong, M.ED., BCBA, LBA
• Jasmin Wong, PHD
• Jerry Yee Wong, D.D.S.
• Jessica Wong, OD
• Joshua Wong
• Ka Wong, PHARMD
• Keith Richard Wong, PHARMD
• Linda Wong, M.D.
• Majesca B Wong, LPC-A

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.