Individual provider Active NPI

George C. Wong, M.D.

  • Ophthalmology Physician
  • West Palm Beach, FL
National Provider Identifier
1386672103
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0054235 Issued in FL
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

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
052595200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000334 FL Practitioner - Ophthalmology 0547310203 Reassigns benefits to 1 organization

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
George C. Wong, M.D., P.a.Group PAC ID 5890845556, 2 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0054235FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George C. Wong, M.D., P.a. Ophthalmology CurrentSince Oct 10, 1988 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.