Carson Katsun Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007444-1 Issued in NY

Practice address

44 Sylvan Ave
Suite 1B
Englewood Cliffs, NJ 07632-2417

Phone

(201) 592-1982

NPI assigned

Jul 9, 2009

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

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

State University of New York - State College Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sylvan Family Eyecare, LLCGroup PAC ID 5496906554, 2 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.

• Sylvan Family Eyecare, LLC

  • Optometrist
  • Englewood Cliffs, NJ
  • NPI 1972857787
  Medicare reassignment Care Compare group NPD Authorized official
• Carson K. Wong, O.D.

  • Optometrist
  • Flushing, NY
  • NPI 1730416611
  NPD (past) Authorized official

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1639308885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE",
            "address_2": "SUITE 1B",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE",
            "address_2": "SUITE 1B",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322417",
            "telephone_number": "201-592-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CARSON",
        "middle_name": "KATSUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007444-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314081",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03160372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WCMS Associates Inc
• We Are US Staffing
• Wellness Physical Therapy, P.C.
• Lashai Williams
• Women Physicians OBGYN Associates
• Jiyun Wong, O.D
• Woori Home Care LLC
• Hee Kon Yang, MD
• Jinyoung Yang, L.AC
• Rosemary Yim, BCBA

• Optometrist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.