Individual provider Active NPI

Doris Wong, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1659355048
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
618 Issued in NV
Practice address
2090 E Flamingo Rd Ste 101
Las Vegas, NV 89119-5116
Phone
(702) 734-9600
Fax
(725) 999-3781
NPI assigned
Nov 30, 2005
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 618 NV
Optometrist 152W00000X OPT 8138 CA
Optometrist 152W00000X 618 NV Primary

Addresses

Primary practice location

2090 E Flamingo Rd Ste 101
Las Vegas, NV 89119-5116

Mailing address

2090 E Flamingo Rd Ste 101
Las Vegas, NV 89119-5116
Phone (702) 734-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20120705000255 NV Practitioner - Optometry 2163687740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doris Wong, O.D. and James F. Williamson, O.D., P.C.Group PAC ID 2365607942, 2 clinicians

Practice addresses (Care Compare)

2090 E Flamingo Rd
Suite 100
Las Vegas, NV 89119-5131
Phone (702) 734-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8138CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doris Wong, O.D. & James F. Williamson, O.D., P.C. Optometrist CurrentSince Oct 18, 2010 Accepting new patients

Locations

2090 E Flamingo Rd
Ste 100
Las Vegas, NV 89119
Phone (702) 733-9271

2090 E Flamingo Rd
Ste 101
Las Vegas, NV 89119
Phone (702) 734-9600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1659355048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 E FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195116",
            "telephone_number": "702-734-9600",
            "fax_number": "725-999-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 E FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195116",
            "telephone_number": "702-734-9600",
            "fax_number": "725-999-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DORIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NV",
            "license": "618",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8138",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.