Lyndon Charles Wong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2252 Issued in NC

Practice address

5330B South Blvd
Charlotte, NC 28217-4116

Phone

(704) 525-9802

Fax

(704) 523-2862

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan Leblanc OD PLLCGroup PAC ID 4981014164, 19 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.

• Ryan Leblanc OD PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1992055966
  Medicare reassignment Care Compare group NPD
• Corte and Wruble, OD, PLLC

  dba Northlake Eye

  • Optometrist
  • Charlotte, NC
  • NPI 1821529249
  Medicare reassignment NPD
• Fox Eye Care Group

  • Optometrist
  • Greensboro, NC
  • NPI 1215994371
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1811319171
  NPD (past)
• Gruen-Ross Optika LLC

  dba Grueneyes

  • Eyewear Supplier
  • New York, NY
  • NPI 1629257241
  NPD (past)
• Optyx LLC

  • Optometrist
  • New York, NY
  • NPI 1568618858
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649244674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330B SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174116",
            "telephone_number": "704-525-9802",
            "fax_number": "704-523-2862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S College St",
            "address_2": "Suite 2020",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282022012",
            "country_code": "US",
            "telephone_number": "704-887-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "LYNDON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT 005474",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wonderland Pediatric Therapy
• Jared Donald Wonders
• Pearl Wong Abood, LMFT
• Constance Rebecca Wong, MA, NCC, LPCA
• Esther Aroom Wong, NP
• Meikim Wong, MD
• Siew-Jyu Wong, MD
• Anna Christine Wood
• Anne Wood
• Bret Wood, LAT, ATC

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.