Individual provider Active NPI

Ashley Z Wong, O.D.

  • Optometrist
  • Chevy Chase, MD
National Provider Identifier
1336423185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2244 Issued in MD
Practice address
4600 N Park Ave
Chevy Chase, MD 20815-4518
Phone
(301) 215-7100
Fax
(240) 482-1201
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OFC48 FL
Optometrist 152W00000X TA2244 MD Primary

Addresses

Primary practice location

4600 N Park Ave
Chevy Chase, MD 20815-4518

Mailing address

18524 Cornflower Rd
Boyds, MD 20841-4315
Phone (301) 385-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120820000779 DC Practitioner - Optometry 1153597596 Reassigns benefits to 1 organization
I20210602002049 MD Practitioner - Optometry 1153597596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Washington PC CurrentSince Aug 1, 2012 Accepting new patients
Children's Hospital Past Accepting new patients

Locations

2 Wisconsin Cir
Ste 500
Chevy Chase, MD 20815

2 Wisconsin Cir
Ste 230
Chevy Chase, MD 20815
Phone (301) 281-4085

4600 N Park Ave
Ste Plzs
North Chevy Chase, MD 20815
Phone (301) 841-6776

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336423185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18524 CORNFLOWER RD",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208414315",
            "telephone_number": "301-385-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N PARK AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154518",
            "telephone_number": "301-215-7100",
            "fax_number": "240-482-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ASHLEY",
        "middle_name": "Z",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OFC48",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.