Individual provider Active NPI

Donna Hwang Wong, OD

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1396841524
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10082TLG Issued in CA
Practice address
26701 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone
(949) 582-5009
Fax
(949) 582-2862
NPI assigned
Sep 15, 2006
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10082TLG CA Primary

Addresses

Primary practice location

26701 Crown Valley Pkwy
Mission Viejo, CA 92691

Mailing address

26701 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 582-5009

Other names 1

  • Donna H Hwang Professional name

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
I20110811000185 CA Practitioner - Optometry 7911176847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10082TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Medical Group a Professional Corporation CurrentSince Jun 13, 2012 Accepting new patients
Advanced Eye Medical Group a Professional Corporation CurrentSince Jun 13, 2012 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

26701 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 582-1010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1396841524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26701 CROWN VALLEY PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-582-5009",
            "fax_number": "949-582-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26701 CROWN VALLEY PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-582-5009",
            "fax_number": "949-582-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DONNA",
        "middle_name": "HWANG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10082TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HWANG",
            "middle_name": "H",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.