Active NPI
Justin Wong OD an Optometric Corporation
- Optometrist
- Irvine, CA
National Provider Identifier
1598323602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JUSTIN WONG OD AN OPTOMETRIC CORPORATION
- Practice address
- 250 E Yale Loop Ste G
Irvine, CA 92604-4697 - Phone
- (949) 333-7504
- Fax
- (949) 333-7503
- NPI assigned
- Jun 4, 2019
- Last updated
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Wyman Wong, OD
- Title
- Optometrist
- Phone
- (714) 928-3612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
250 E Yale Loop Ste G
Irvine, CA 92604-4697
Mailing address
474 Monroe
Irvine, CA 92620-3656
Phone (714) 928-3612
National Provider Directory
National Provider DirectoryLocations
250 E Yale Loop
Ste G
Irvine, CA 92604
Phone (949) 333-7504
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Irvine, CA
- NPI 1578914578
-
- Optometrist
- Irvine, CA
- NPI 1942565320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1598323602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 MONROE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203656",
"telephone_number": "714-928-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E YALE LOOP STE G",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044697",
"telephone_number": "949-333-7504",
"fax_number": "949-333-7503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTIN WONG OD AN OPTOMETRIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "WYMAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "714-928-3612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.