Individual provider Active NPI

Robert Wong, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1275699274
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N2888 Issued in TX
Practice address
801 W 38TH St
Suite 200
Austin, TX 78705-1167
Phone
(512) 451-0103
Fax
(512) 451-2741
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N2888 TX Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X N2888 TX

Addresses

Primary practice location

801 W 38TH St
Suite 200
Austin, TX 78705-1167

Mailing address

801 W 38TH St
Suite 200
Austin, TX 78705-1167
Phone (512) 451-0103

Other identifiers 3

IdentifierTypeStateIssuer
2194037-02MedicaidTX
2194037-03MedicaidTX
8CW384OtherTXBCBS INDIVIDUAL #

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000229 TX Practitioner - Ophthalmology 1850445172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Retina Associates PLLCGroup PAC ID 2163497801, 18 clinicians

Practice addresses (Care Compare)

801 W 38TH St
Suite 200
Austin, TX 78705-1169
Phone (512) 451-0103

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N2888TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Nov 23, 2020 Accepting new patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Jun 27, 2011 Accepting new patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Jun 27, 2011 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Nov 23, 2020 Accepting new patients
Retina Consultants of Austin, PA Ophthalmology PastSince Aug 11, 2012 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

3300 W Anderson Ln
Ste 308
Austin, TX 78757
Phone (512) 454-8744

1512 W 35th St
Ste 200
Austin, TX 78703

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

801 W 38th St
Ste 200
Austin, TX 78705

4207 James Casey St
Ste 301
Austin, TX 78745
Phone (512) 444-7944

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

2801 S Water St
Burnet, TX 78611
Phone (512) 756-2131

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

2501 Ranch Road 620 S
Ste 130
Lakeway, TX 78734

101 Medical Pkwy
Ste 240
Lakeway, TX 78738

200 Max Starcke Dam Rd
Ste 240
Marble Falls, TX 78654

2006 N US Highway 281
Marble Falls, TX 78654
Phone (830) 693-2020

503 Highway 1431
Ste 101
Marble Falls, TX 78654
Phone (830) 798-2400

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

1545 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (512) 610-2820

319 W Harris Ave
San Angelo, TX 76903
Phone (325) 658-8595

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

14500 Ranch Road 12
Ste 8
Wimberley, TX 78676
Phone (512) 353-1300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1275699274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 38TH ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051167",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 38TH ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051167",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N2888",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "N2888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194037-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194037-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "8CW384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.