Individual provider Active NPI

Joanna Wong, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1477233633
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009798 Issued in NY
Practice address
437 5TH Ave FL 2
New York, NY 10016-2205
Phone
(916) 320-5773
NPI assigned
Jul 24, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009798 NY Primary

Addresses

Primary practice location

437 5TH Ave FL 2
New York, NY 10016-2205

Mailing address

437 5TH Ave FL 2
New York, NY 10016-2205

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
I20240619001278 CA Practitioner - Optometry 1456894492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin and Reed a Medical CorporationGroup PAC ID 7911947445, 6 clinicians

Practice addresses (Care Compare)

651 Fulton Ave
Sacramento, CA 95825-4813
Phone (916) 483-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009798NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin & Reed a Medical Corporation Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Sutter North Medical Foundation PastSince Jul 15, 2024 Accepting new patients

Locations

651 Fulton Ave
Sacramento, CA 95825
Phone (916) 483-2525

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, 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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1477233633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162205",
            "telephone_number": "916-320-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.