Active NPI
Jovi Wong, MD
- Retina Specialist (Ophthalmology) Physician
- Brentwood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 2025016972
- Practice address
- 1600 S. Brentwood Blvd
Suite 700
Brentwood, MO 63144 - Phone
- (314) 367-1181
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 036.1733689 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2025016972 | MO | Primary |
Addresses
Primary practice location
1600 S. Brentwood Blvd
Suite 700
Brentwood, MO 63144
Mailing address
8820 Ladue Road
Suite 203
St. Louis, MO 63124
Phone (314) 367-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181
1600 S Brentwood Blvd
Suite 700
Brentwood, MO 63144-1304
Phone (314) 367-1181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.1733689 | IL | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Rock Behavioral Health, LLC | Current | Accepting new patients | |
| Retina Consultants, LLC | Retina Specialist | Current | Accepting new patients |
| The Retina Institute LLC | Past | Accepting new patients |
Locations
903 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-2933
5 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (800) 888-0011
5 Country Club Executive Park
Glen Carbon, IL 62034
Phone (314) 567-7771
1009 S 42nd St
Ste 3
Mount Vernon, IL 62864
Phone (618) 244-6161
1125 Hampshire St
Quincy, IL 62301
Phone (217) 222-3937
1600 S Brentwood Blvd
Ste 700
Brentwood, MO 63144
226 S Woods Mill Rd
Ste 50W
Chesterfield, MO 63017
8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267
5770 Mexico Rd
Ste D
Saint Peters, MO 63376
Phone (314) 842-2020
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jwong@rcstl.intellechartdirect.net
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Saint Louis, MO
- NPI 1376157453
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1407858673
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1710780101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8820 LADUE ROAD",
"address_2": "SUITE 203",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63124",
"telephone_number": "314-367-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S. BRENTWOOD BLVD",
"address_2": "SUITE 700",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "63144",
"telephone_number": "314-367-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JOVI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-31",
"last_updated": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "IL",
"license": "036.1733689",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MO",
"license": "2025016972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.