Wink Optometry del Mar Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

9832T Issued in CA

Legal business name

WINK OPTOMETRY DEL MAR INC

Practice address

2673 Via de la Valle Ste F
Del Mar, CA 92014-1912

Phone

(858) 454-4699

Fax

(858) 454-3797

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gordon WongNPI 1447338447

Title

President/Ceo

Phone

(858) 454-4699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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

• Samantha Daoud, OD

  • Optometrist
  • Del Mar, CA
  • NPI 1104675735
  Medicare reassignment Care Compare group NPD
• Tania Stevens, O.D.

  • Optometrist
  • Long Beach, CA
  • NPI 1427089630
  Medicare reassignment Care Compare group NPD
• Gordon G Wong, OD

  • Corneal and Contact Management Optometrist
  • La Jolla, CA
  • NPI 1447338447
  Medicare reassignment NPD Authorized official
• Wildon C Wong, OD

  • Optometrist
  • La Jolla, CA
  • NPI 1386619906
  Medicare reassignment Care Compare group NPD
• Puneh Baha, O.D.

  • Optometrist
  • Escondido, CA
  • NPI 1134212160
  NPD (past)
• Amanda Kay Dexter, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1407168768
  NPD (past)
• Julia Holley

  • Optometrist
  • San Diego, CA
  • NPI 1790516888
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1467907899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 VIA DE LA VALLE STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141912",
            "telephone_number": "858-454-4699",
            "fax_number": "858-454-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 VIA DE LA VALLE STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141912",
            "telephone_number": "858-454-4699",
            "fax_number": "858-454-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK OPTOMETRY DEL MAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-454-4699",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9832T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Whynot, L.AC
• William E. Lerner Chiropractic, Inc.
• Joan W Winchell, MFT
• Winfield Dental Group, LLC
• Wink Optometry & Eyewear, Inc
• Christy Wise, PSY.D.
• Nicole Dizon Witkin, PSY.D
• Alan Craig Wittgrove, M.D.
• Hayley Joy Woldseth, MS, CNS
• Francisco M Wong, M.D.

• Optometrist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.