Wong Eyecare Associates, an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13293 Issued in CA

Legal business name

WONG EYECARE ASSOCIATES, AN OPTOMETRIC CORPORATION

Practice address

1366 S Riverside Ave
Rialto, CA 92376

Phone

(909) 421-2020

Fax

(909) 285-9586

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Dixon WongNPI 1811196967

Title

Optometrist

Phone

(909) 421-2020

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dixon Wong, O.D.

  • Optometrist
  • Rialto, CA
  • NPI 1811196967
  Medicare reassignment Care Compare group NPD Authorized official
• Dennis Wong, O.D.

  • Optometrist
  • Rialto, CA
  • NPI 1245438365
  Medicare reassignment Care Compare group NPD
• Shine Kikawa, O.D.

  • Optometrist
  • Rialto, CA
  • NPI 1568736890
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1679859524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767608",
            "telephone_number": "909-421-2020",
            "fax_number": "909-285-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-421-2020",
            "fax_number": "909-285-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONG EYECARE ASSOCIATES, AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DIXON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "909-421-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13292",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Randolph Winder, CADC II, RAS II
• Judith K Wipf, D.D.S.
• Lee Trevenia Wiseman
• Dianne Kay Lassman Wolkenhauer, PHD
• Barbara Leigh Woloshin
• Dennis Wong, O.D.
• Dixon Wong, O.D.
• Lawrence L. Wong, D.D.S.
• Norman C K Wong, MD
• Joyce M Woodbury-Harris

• Optometrist in Rialto, CA
• Providers in Rialto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.