Jonathan T Wong OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5607TG Issued in TX

Legal business name

JONATHAN T WONG OD PC

Practice address

12420 FM 1960 Rd W
Houston, TX 77065-4809

Phone

(832) 237-1688

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan T Wong, ODNPI 1265473789

Title

President

Phone

(832) 237-1688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan T Wong, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1265473789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1407058605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654809",
            "telephone_number": "832-237-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654809",
            "telephone_number": "832-237-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN T WONG OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-237-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5607TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Cheng MD PLLC
• Jonathan J. Dora, M.D.,P.a.
• Jonathan Penchas D.M.D.,M.Ed., PA.
• Jonathan R Russell, M.D., P.a.
• Jonathan R. Hulme MD, PA
• Sumeeth Vijay Jonathan, MD, PHD
• Jones Comprehensive Assessment Center PC
• Jones Comprehensive Assessment Center PC
• Jones FM-1960 Dental, P.C.
• Jones House of Peace

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.