Individual provider Active NPI

Angela Wong, OD

  • Optometrist
  • Union City, CA
National Provider Identifier
1275195141
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34256TLG Issued in CA
Practice address
34724 Alvarado Niles Rd
Union City, CA 94587-4502
Phone
(510) 489-5510
NPI assigned
Jul 1, 2019
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34256TLG CA Primary

Addresses

Primary practice location

34724 Alvarado Niles Rd
Union City, CA 94587-4502

Mailing address

34724 Alvarado Niles Rd
Union City, CA 94587-4502
Phone (510) 489-5510

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200814000262 CA Practitioner - Optometry 8022434521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Angela Wong IncGroup PAC ID 4880071695, 2 clinicians

Practice addresses (Care Compare)

34724 Alvarado Niles Rd
Union City, CA 94587-4502
Phone (510) 489-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34256CAMDChiropractor
34256TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary M. Louie O.D. Inc. Optometrist CurrentSince Jul 16, 2020 Accepting new patients
Dr. Angela Wong, Inc Optometrist CurrentSince Apr 29, 2022 Accepting new patients

Locations

34724 Alvarado Niles Rd
Union City, CA 94587
Phone (510) 489-5510

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

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1275195141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34724 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874502",
            "telephone_number": "510-489-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34724 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874502",
            "telephone_number": "510-489-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34256TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

Verify at the official NPI Registry.