NPIMap

Organization Active NPI

Ashley Wong OD LLC

  • Optometrist
  • Frederick, MD
National Provider Identifier
1669047726
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ASHLEY WONG OD LLC
Practice address
3272 Bennett Creek Avenue
Unit B
Frederick, MD 21704-7653
Phone
(301) 732-7988
Fax
(301) 732-7881
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Dr. Ashley Z Wong, OD
Title
OD/President
Phone
(301) 732-7988

Specialties & licenses 1

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

Addresses

Primary practice location

3272 Bennett Creek Avenue
Unit B
Frederick, MD 21704-7653

Mailing address

3272 Bennett Creek Avenue
Unit B
Frederick, MD 21704-7653
Phone (301) 732-7988

Other names 1

  • Pediatric Eyes and Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3272 Bennett Creek Ave
#B
Frederick, MD 21704
Phone (301) 732-7988

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1669047726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 BENNETT CREEK AVENUE",
            "address_2": "UNIT B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047653",
            "telephone_number": "301-732-7988",
            "fax_number": "301-732-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 BENNETT CREEK AVENUE",
            "address_2": "UNIT B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047653",
            "telephone_number": "301-732-7988",
            "fax_number": "301-732-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY WONG OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OD/PRESIDENT",
        "authorized_official_telephone_number": "301-732-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Eyes and Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.