Active NPI
Whitney D NG, O.D.
- Optometrist
- Stockton, CA
National Provider Identifier
1467503953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11712
- Practice address
- 4950 Pacific Ave
Weberstown Shopping Ctr
Stockton, CA 95207-6307 - Phone
- (209) 477-4114
- Fax
- (209) 477-9871
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11712 | CA | Primary |
Addresses
Primary practice location
4950 Pacific Ave
Weberstown Shopping Ctr
Stockton, CA 95207-6307
Mailing address
700 El Camino Real
Ste 160
Menlo Park, CA 94025-4847
Phone (650) 329-8182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11712 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Stockton, CA
- NPI 1629122270
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467503953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 EL CAMINO REAL",
"address_2": "STE 160",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254847",
"telephone_number": "650-329-8182",
"fax_number": "650-329-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 PACIFIC AVE",
"address_2": "WEBERSTOWN SHOPPING CTR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076307",
"telephone_number": "209-477-4114",
"fax_number": "209-477-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "WHITNEY",
"middle_name": "D",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.