Individual provider Active NPI

Wildon C Wong, OD

  • Optometrist
  • La Jolla, CA
National Provider Identifier
1386619906
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11493T Issued in CA
Practice address
7841 Fay Ave
La Jolla, CA 92037-4251
Phone
(858) 454-4699
Fax
(858) 545-3797
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11493T CA Primary

Addresses

Primary practice location

7841 Fay Ave
La Jolla, CA 92037-4251

Mailing address

7841 Fay Ave
La Jolla, CA 92037-4251
Phone (858) 454-4699

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160425002478 CA Practitioner - Optometry 5395900088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Wink Optometry del Mar IncGroup PAC ID 0345520623, 3 clinicians
GW Eye Associates IncGroup PAC ID 2062304397, 4 clinicians

Practice addresses (Care Compare)

2673 Via de la Valle
Suite F
Del Mar, CA 92014-1912
Phone (858) 755-9465

7841 Fay Ave
La Jolla, CA 92037-4251
Phone (858) 454-4699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11493TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wink Optometry del Mar Inc Optometrist CurrentSince Aug 29, 2017 Accepting new patients
GW Eye Associates Inc Optometrist CurrentSince Feb 20, 2016 Accepting new patients
Mihir Parikh, M.D. Inc Past Accepting new patients

Locations

2673 Via de la Valle
Ste F
Del Mar, CA 92014
Phone (858) 454-4699

7841 Fay Ave
La Jolla, CA 92037
Phone (858) 454-4699

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1386619906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374251",
            "telephone_number": "858-454-4699",
            "fax_number": "858-545-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374251",
            "telephone_number": "858-454-4699",
            "fax_number": "858-545-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WILDON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11493T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.