Active NPI
George C. Wong, M.D.
- Ophthalmology Physician
- West Palm Beach, FL
National Provider Identifier
1386672103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0054235
- Practice address
- 1500 N Dixie Hwy
Suite #201
West Palm Beach, FL 33401-2712 - Phone
- (561) 659-6535
- Fax
- (561) 659-2486
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0054235 | FL | Primary |
Addresses
Primary practice location
1500 N Dixie Hwy
Suite #201
West Palm Beach, FL 33401-2712
Mailing address
1500 N Dixie Hwy
Suite #201
West Palm Beach, FL 33401-2712
Phone (561) 659-6535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052595200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Harvard Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 N Dixie Hwy
Suite 201
West Palm Beach, FL 33401-2716
Phone (561) 659-6535
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0054235 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George C. Wong, M.D., P.a. | Ophthalmology | Current | Accepting new patients |
Locations
1041 S State Road 7
Wellington, FL 33414
Phone (561) 659-6535
1500 N Dixie Hwy
Ste 201
West Palm Beach, FL 33401
Phone (561) 366-9773
Interoperability endpoints
- gwong21114@jupitermedicalcenter.direct-ci.com
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- West Palm Beach, FL
- NPI 1699919894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1386672103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N DIXIE HWY",
"address_2": "SUITE #201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012712",
"telephone_number": "561-659-6535",
"fax_number": "561-659-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N DIXIE HWY",
"address_2": "SUITE #201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012712",
"telephone_number": "561-659-6535",
"fax_number": "561-659-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "GEORGE",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0054235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052595200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Gary Michael Wolfson, M.D.
- Women'S Care Florida LLC
- Women'S Health and Education Network of Palm Beach County
- Women'S Health and Education Network of Palm Beach County Inc.
- Andrew Charles Wondra, MD
- Sophia Lynn Wong, LCSW
- Wood Lake Health Care Associates LLC
- Niesha Wood, MS
- Sonja Woodard, RRT
- Daniel Woods, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.