Sandy Wong-Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

61116002 Issued in WA

Practice address

400 Costco Dr
Tukwila, WA 98188-4808

Phone

(206) 574-7117

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1669060836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COSTCO DR",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981884808",
            "telephone_number": "205-574-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COSTCO DR",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981884808",
            "telephone_number": "206-574-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6218 NE 7th Ct",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980594589",
            "country_code": "US",
            "telephone_number": "206-779-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG-TRAN",
        "first_name": "SANDY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-02-23",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61116002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Winnett
• Lauren Wisegarver, BCBA
• Kristen Marie Wolf Brickwood
• Sierra Wollen
• Serkalem Wondimu
• Minna Wong
• Velika Wong
• Rachel Woo-Asistin
• Jerica Wood, LMT
• Lisa Fortlouis Wood, PH.D.

• Optometrist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.