Lisa Wong MD Ms LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

49920 Issued in CO

Legal business name

LISA WONG MD MS LLC

Practice address

916 Homestake Dr
Golden, CO 80401-1772

Phone

(303) 588-3300

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Lisa Wong

Title

Manager; Physician

Phone

(303) 588-3300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1720360464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 HOMESTAKE DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011772",
            "telephone_number": "303-588-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HOMESTAKE DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011772",
            "telephone_number": "303-588-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WONG MD MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER; PHYSICIAN",
        "authorized_official_telephone_number": "303-588-3300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "49920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.