Andrew Burton Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13133 Issued in CA

Practice address

1026 W West Covina Pkwy Ste B
West Covina, CA 91790-8212

Phone

(626) 962-5868

Fax

(626) 856-0570

NPI assigned

Oct 3, 2007

Last updated

Apr 29, 2008By 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

University of California - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Ardaya and Lin Optometry IncGroup PAC ID 2961667399, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: direct@goldenoptometricgroupwestcovinaca.compulinkdirect.com

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.

• Golden Ardaya & Lin Optometry Inc

  • Optometrist
  • Whittier, CA
  • NPI 1962764340
  Medicare reassignment Care Compare group NPD
• Sheldon M. Golden OD Optometric Corporation

  dba Golden Optometric Group

  • Optometrist
  • Whittier, CA
  • NPI 1326089764
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1336336304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W WEST COVINA PKWY STE B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917908212",
            "telephone_number": "626-962-5868",
            "fax_number": "626-856-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W WEST COVINA PKWY STE B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917908212",
            "telephone_number": "626-962-5868",
            "fax_number": "626-856-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDREW",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0131330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sone-Seere A Wilson, MD
• Samuel Winkler
• Christopher Emmanuel Wissar Sr., MD
• Carol Wolcott, PA-C
• Timothy J Wolf, C.R.N.A.08/
• Felix Wong
• Jair Wong, MD
• Kee P Wong, M.D.
• Li Chiung Wong, MD
• Porschia R-P Wong

• Optometrist in West Covina, CA
• Providers in West Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.