Brian Fong OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRIAN FONG OD INC

Practice address

17100 Norwalk Blvd Ste 107
Cerritos, CA 90703-2750

Phone

(562) 867-8302

Fax

(562) 867-7046

NPI assigned

Oct 31, 2025

Organization subpart

No

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

Authorized official

Name

Brian Fong, ODNPI 1427344522

Title

Ceo

Phone

(562) 867-8302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Brian Matthew Fong

  • Optometrist
  • Cerritos, CA
  • NPI 1427344522
  Medicare reassignment NPD Authorized official
• Anthony Joseph Huang, O.D.

  • Optometrist
  • Bellflower, CA
  • NPI 1659344802
  NPD
• Vivian Wen-Jieh Shih, O.D.

  • Optometrist
  • Arcadia, CA
  • NPI 1093137994
  NPD
• Carleton Scott Fong, O.D.

  • Optometrist
  • Foothill Ranch, CA
  • NPI 1427023100
  NPD (past)

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1518836303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 NORWALK BLVD STE 107",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032750",
            "telephone_number": "562-867-8302",
            "fax_number": "562-867-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 NORWALK BLVD STE 107",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032750",
            "telephone_number": "562-867-8302",
            "fax_number": "562-867-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN FONG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-867-8302",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Brandt, PHARMD
• Vicki A. Bras, LCSW
• Alejandro Bravo
• Maricela Bravo
• Ashley Bray
• Savannah Dion Brim
• Brian Earl Bristol, ANP-C
• Perla Brito
• Gretchen Lorraine Broman, APN, RN
• Marlena Keyshauna Ciara Brooks

• Optometrist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.