Gene Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7686T Issued in TX

Practice address

1316 E Hwy 377
Granbury, TX 76048-2548

Phone

(682) 498-8750

NPI assigned

Jun 23, 2010

Last updated

Oct 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group NPD
• Stellar Eyes

  • Optometrist
  • Granbury, TX
  • NPI 1912509811
  Medicare reassignment NPD Authorized official
• Texas Stellar Optometry

  • Optometrist
  • Cleburne, TX
  • NPI 1477020980
  Medicare reassignment NPD
• Dianne Bui Dao OD PC

  dba Today's Vision

  • Optometrist
  • Pearland, TX
  • NPI 1316159346
  NPD (past)
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Pope Enterprises PLLC

  dba parkwood vision center

  • Optometrist
  • Friendswood, TX
  • NPI 1396927059
  NPD (past)
• Robert a Gracey OD PC

  • Optometrist
  • Cleburne, TX
  • NPI 1225210032
  NPD (past)
• Dr David a Tufts O D PLLC

  dba Cedar Creek EyeCare, Doctors of Optometry

  • Optometrist
  • Winchester, VA
  • NPI 1477741072
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1386955565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 W SAMPLE RD APT 302",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E HWY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482548",
            "telephone_number": "682-498-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 W Henderson St Ste N",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760334179",
            "country_code": "US",
            "telephone_number": "817-645-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-10-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5006",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001953",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7686T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "013636600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287979301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willow Mark Therapy PLLC
• Catherine Cornelia Wilson, FNP-BC
• Jennifer Jo Winkle, AU.D.,CCC-A
• Winnie-Stowell Hospital District (Harbor Lakes Nursing and Rehabilitation Center)
• Brycen Witcher, MD
• Christine Wood
• Leslie Wood
• Tena Lee Wood I, LVN
• Tara Woodall
• Cheryl Wooten, LPC

• Optometrist in Granbury, TX
• Providers in Granbury, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.

Verify at the official NPI Registry.