Matthew Charles Fong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35293 Issued in CA

Practice address

3956 J St Ste 4
Sacramento, CA 95819-3625

Phone

(916) 739-6260

Fax

(916) 739-0168

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Don P Fong, O.D.

  • Optometrist
  • Sacramento, CA
  • NPI 1710035068
  Medicare reassignment

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1396466033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 J ST STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193625",
            "telephone_number": "916-739-6260",
            "fax_number": "916-739-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3956 J ST STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193625",
            "telephone_number": "916-739-6260",
            "fax_number": "916-739-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Thomas Fong, D.D.S.
• Lindsay Michelle Fong, D.M.D.
• Makenzie Fong, MS
• Manchiem Sherry Fong
• Marisa Fong
• Melissa Jane Fong, DDS
• Morgan Fong
• Nicholas Fong
• Patricia F Fong, DDS
• Patty Fong

• Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.