Individual provider Active NPI

Tik Wong, OD

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1619864097
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003503 Issued in VA
Practice address
14431 Sommerville CT Ste B
Midlothian, VA 23113-6812
Phone
(804) 888-8998
NPI assigned
Jun 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003503 VA Primary

Addresses

Primary practice location

14431 Sommerville CT Ste B
Midlothian, VA 23113-6812

Mailing address

14431 Sommerville CT Ste B
Midlothian, VA 23113-6812
Phone (804) 888-8998

Other practice location 1

3601 Grove Ave
Richmond, VA 23221-2201
Phone (804) 353-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20251105003223 VA Practitioner - Optometry 3971093287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove Ave Eye Center PCGroup PAC ID 1759411663, 9 clinicians

Practice addresses (Care Compare)

14431 Sommerville CT
Suite B
Midlothian, VA 23113-6812
Phone (804) 888-8998

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grove Ave Eye Center PC Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Jenny Alsop, OD PLLC Optometrist PastSince Jun 23, 2025 Accepting new patients

Locations

14431 Sommerville Ct
Ste B
Midlothian, VA 23113
Phone (804) 358-8443

3601 Grove Ave
Richmond, VA 23221
Phone (804) 353-3937

Organizations & group practices 2

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1619864097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 SOMMERVILLE CT STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136812",
            "telephone_number": "804-888-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14431 SOMMERVILLE CT STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136812",
            "telephone_number": "804-888-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232212201",
            "country_code": "US",
            "telephone_number": "804-353-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "TIK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.