Organization Active NPI

Thomas Wing OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1609003342
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD0057940 Issued in CA
Legal business name
THOMAS WING OD
Practice address
6320 Mack Rd
Sacramento, CA 95823-4646
Phone
(916) 421-3986
NPI assigned
Jun 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Thomas Wing
Title
Optometrist
Phone
(916) 421-3986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SD0057940 CA Primary

Addresses

Primary practice location

6320 Mack Rd
Sacramento, CA 95823-4646

Mailing address

6320 Mack Rd
Sacramento, CA 95823-4646

National Provider Directory

National Provider Directory

Locations

6320 Mack Rd
Sacramento, CA 95823
Phone (682) 556-0583

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1609003342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234646",
            "telephone_number": "916-421-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS WING OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-21",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "916-421-3986"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD0057940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.