Justin Wyman Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14406 Issued in CA

Practice address

2280 E Carson St
Long Beach, CA 90807-3044

Phone

(562) 422-2020

Fax

(562) 426-2214

NPI assigned

Jul 11, 2012

Sex

Male

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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.

• Regents of the University of California

  • Rheumatology Physician
  • Orange, CA
  • NPI 1487602579
  Medicare reassignment NPD
• Regents of the University of California

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1871541953
  Medicare reassignment NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1699030940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073044",
            "telephone_number": "562-422-2020",
            "fax_number": "562-426-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073044",
            "telephone_number": "562-422-2020",
            "fax_number": "562-426-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JUSTIN",
        "middle_name": "WYMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Lap Ming Wong, DPM
• David Howard Wong, PHARM.D., M.D.
• Gary Wong, MD
• Hollie Y Wong
• Jimmy Wong
• Kellianne Wong, PHARMD
• Lowry Yeh Wong, DDS
• Michael Wong, MD
• Shinn Wong, PHARM.D.
• Sum Yin Ruth Wong

• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.