Individual provider Active NPI

Arie Wong

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1538615018
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33518 Issued in CA
Practice address
1689 Arden Way Ste 1344
Sacramento, CA 95815-4099
Phone
(916) 922-5666
NPI assigned
Aug 25, 2016
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008509 NY
Optometrist 152W00000X 33518 CA Primary
Low Vision Rehabilitation Optometrist 152WL0500X 33518 CA

Addresses

Primary practice location

1689 Arden Way Ste 1344
Sacramento, CA 95815-4099

Mailing address

1689 Arden Way Ste 1344
Sacramento, CA 95815-4099

Other practice location 1

2019 Anderson Rd Ste C
Davis, CA 95616-0773
Phone (530) 756-5050

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
I20170713003501 CA Practitioner - Optometry 9234418989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Optometry IncGroup PAC ID 0042540734, 4 clinicians

Practice addresses (Care Compare)

2019 Anderson Rd
Suite C
Davis, CA 95616-0773
Phone (530) 219-6917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33518CAMDOptometrist
008509NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Society for the Blind Optometrist CurrentSince Aug 1, 2017 Accepting new patients
Baker Optometry, Inc. Optometrist CurrentSince Feb 1, 2023 Accepting new patients

Locations

2019 Anderson Rd
Ste C
Davis, CA 95616
Phone (530) 219-6917

1238 S St
Sacramento, CA 95811
Phone (916) 452-8271

Organizations & group practices 3

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1538615018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY STE 1344",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY STE 1344",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154099",
            "telephone_number": "916-922-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Anderson Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956160773",
            "country_code": "US",
            "telephone_number": "530-756-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008509",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33518",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "33518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.