Individual provider Active NPI

Arthur Wong, O.D.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1588616221
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC-3068 Issued in FL
Practice address
5415 SW 64TH St
Compensation & Pension Service-VA Clinic
Gainesville, FL 32608-9605
Phone
(352) 338-4900
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC-3068 FL Primary

Addresses

Primary practice location

5415 SW 64TH St
Compensation & Pension Service-VA Clinic
Gainesville, FL 32608-9605

Mailing address

3004 SW 98TH Way
Gainesville, FL 32608-8682
Phone (954) 214-1952

Other identifiers 1

IdentifierTypeStateIssuer
620223300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPC-3068FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm Randall Vamc Past Accepting new patients

Organizations & group practices 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1588616221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SW 98TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088682",
            "telephone_number": "954-214-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SW 64TH ST",
            "address_2": "COMPENSATION & PENSION SERVICE-VA CLINIC",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089605",
            "telephone_number": "352-338-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-3068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620223300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.