Jeannette Aidee Wong-Powell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7620T Issued in TX

Practice address

9725 Datapoint Dr
San Antonio, TX 78229-2384

Phone

(210) 883-1190

NPI assigned

Aug 6, 2010

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jeannette Aidee Wong Amieva Other name

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stone Oak Ophthalmology Center LLCGroup PAC ID 0840452686, 4 clinicians

University of the Incarnate WordGroup PAC ID 9234310301, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stone Oak Ophthalmology Center LLC

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1609146356
  Medicare reassignment Care Compare group NPD
• University of the Incarnate Word

  dba Eye & Vision Care Clinic

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment Care Compare group NPD
• University of the Incarnate Word

  dba Nursing Cardinal Clinic

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033591706
  NPD

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1588978100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303509",
            "telephone_number": "210-724-4849",
            "fax_number": "830-629-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384",
            "telephone_number": "210-883-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18586 Sigma Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584274",
            "country_code": "US",
            "telephone_number": "210-490-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG-POWELL",
        "first_name": "JEANNETTE",
        "middle_name": "AIDEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003668A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7620T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "WONG AMIEVA",
            "middle_name": "AIDEE",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Women's Clinic of San Antonio P.a.
• Womens Center at Westover Hills
• Womens Comprehensive Clinic for Internal Medicine PLLC
• Womens Comprehensive Clinic for Internal Medicine PLLC (SpaMedics Weight Loss and Wellness Beauty Boutique)
• Wonder Kids Pediatrics, PLLC
• Adrian Wong, M.D.
• Andrew Wae Wong, M.D.
• Belinda Wong, FNP
• Christine Danielle Wong, LPC
• Derrick Wong

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.