Active NPI
Rosie Mo Wong, OD, Optometric Corporation
- Optometrist
- Monrovia, CA
National Provider Identifier
1376276725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROSIE MO WONG, OD, OPTOMETRIC CORPORATION
- Practice address
- 945 W Duarte Rd
Monrovia, CA 91016-4306 - Phone
- (626) 780-7093
- NPI assigned
- Jul 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rosie Mo Wong, OD
- Title
- Optometrist
- Phone
- (626) 501-3773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
945 W Duarte Rd
Monrovia, CA 91016-4306
Mailing address
945 W Duarte Rd
Monrovia, CA 91016-4306
Phone (626) 501-3773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Pasadena, CA
- NPI 1922383587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1376276725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 W DUARTE RD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910164306",
"telephone_number": "626-501-3773",
"fax_number": "626-501-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W DUARTE RD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910164306",
"telephone_number": "626-780-7093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSIE MO WONG, OD, OPTOMETRIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-05",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "ROSIE",
"authorized_official_middle_name": "MO",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "626-501-3773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.