Individual provider Active NPI

Laurence C Wong, OD

  • Optometrist
  • Katy, TX
National Provider Identifier
1497716294
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6270TG Issued in TX
Practice address
22762 Westheimer Pkwy Ste 405
Katy, TX 77450-8825
Phone
(281) 395-2010
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6270TG TX Primary

Addresses

Primary practice location

22762 Westheimer Pkwy Ste 405
Katy, TX 77450-8825

Mailing address

22762 Westheimer Pkwy Ste 405
Katy, TX 77450-8825
Phone (281) 395-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051212000103 TX Practitioner - Optometry 5799706396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22762 Westheimer Pkwy
Suite 405
Katy, TX 77450-8825
Phone (281) 395-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6270TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
LTW Vision Empire, P.a. Optometrist CurrentSince Aug 1, 2007 Accepting new patients
RX Vision Group, PA Optometrist Past Accepting new patients

Locations

22762 Westheimer Pkwy
Ste 405
Katy, TX 77450
Phone (281) 395-2010

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1497716294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22762 WESTHEIMER PKWY STE 405",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508825",
            "telephone_number": "281-395-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 WESTHEIMER PKWY STE 405",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508825",
            "telephone_number": "281-395-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LAURENCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6270TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.