Alissa H Wong, O.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1142 Issued in AZ

Practice address

2860 S Alma School Rd Ste 28
Chandler, AZ 85248-3195

Phone

(480) 732-9040

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care at the PromenadeGroup PAC ID 7911969407, 3 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 and National Provider Directory roles.

• Eye Care at the Promenade

  • Optometrist
  • Chandler, AZ
  • NPI 1538361282
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598819443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 W LYNX WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485424",
            "telephone_number": "480-659-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S ALMA SCHOOL RD STE 28",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483195",
            "telephone_number": "480-732-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALISSA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1142",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burrell Harvey Wolk, M.D.
• Robin Alanna Wolpinsky
• Chad Joseph Wolsey, D.C.
• Samra-Lisa N Wolters
• Wonderful Living Care Network LLC
• Angela Wong, M.D.
• Christabelle N Wong, PA-C
• Darrell W Wong, MD
• Duane W Wong, MD
• Joseph Wong

• Specialist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.