Ashley Wong, LLC

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

Legal business name

ASHLEY WONG, LLC

Practice address

3272 Bennett Creek Ave
Unit B
Frederick, MD 21704

Phone

(301) 732-7988

Fax

(301) 732-7881

NPI assigned

May 18, 2021

Organization subpart

Yes

Parent organization

PEAS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Ashley Wong, OD

Title

Pediatric Optometrist

Phone

(301) 385-2840

Specialties & licenses 1

Addresses

Tax ID family

Peas LLC2 organizations share this tax ID, including this one

Part of

Peas LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peas LLC

  • Pediatric Optometrist
  • Frederick, MD
  • NPI 1740856798
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Peas LLC

  • Pediatric Optometrist
  • Frederick, MD
  • NPI 1740856798
  NPPES parent name

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1356915979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 BISHOPGATE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047356",
            "telephone_number": "301-385-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 BENNETT CREEK AVE",
            "address_2": "UNIT B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "301-732-7988",
            "fax_number": "301-732-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY WONG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAS, LLC",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PEDIATRIC OPTOMETRIST",
        "authorized_official_telephone_number": "301-385-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Gherezghiher Asghedom, PMHNP-BC
• Nermeen Asham, RN
• Ashley King PT/at, LLC
• Ashley Reaver Nutrition LLC
• Ashley Wong OD LLC
• Fnu Rene Ashu Mbeng
• Joseph Ashwal, M.D.
• Adobea Asiam, CRNP
• Marty Mehrdad Askari
• Mariam Aslam

• Pediatric Optometrist in Frederick, MD
• Providers in Frederick, MD by specialty
• Pediatric Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.