Active NPI
Wendell P. Wong, M.D.
- Optometrist
- Torrance, CA
National Provider Identifier
1700931698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- G38296
- Practice address
- 23550 Hawthorne Blvd
Suite #220, Building 1
Torrance, CA 90505-4731 - Phone
- (310) 784-2020
- Fax
- (310) 784-2021
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | G38296 | CA | Primary |
Addresses
Primary practice location
23550 Hawthorne Blvd
Suite #220, Building 1
Torrance, CA 90505-4731
Mailing address
23550 Hawthorne Blvd
Suite #220, Building 1
Torrance, CA 90505-4731
Phone (310) 784-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38296 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser Eye Care of California, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Lasik Today Torrance
- Clinic/Center
- Torrance, CA
- NPI 1578777678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700931698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23550 HAWTHORNE BLVD",
"address_2": "SUITE #220, BUILDING 1",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054731",
"telephone_number": "310-784-2020",
"fax_number": "310-784-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 HAWTHORNE BLVD",
"address_2": "SUITE #220, BUILDING 1",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054731",
"telephone_number": "310-784-2020",
"fax_number": "310-784-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "WENDELL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "G38296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.