Lee Ming Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5739 Issued in NJ

Practice address

20 Park Ave
Lyndhurst, NJ 07071-1012

Phone

(201) 896-0096

Fax

(201) 896-0062

NPI assigned

Jun 7, 2007

Sex

Female

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 NJ

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

State licenses

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.

• Garden State Eye Group, Inc.

  • Optometrist
  • Springfield, NJ
  • NPI 1740606649
  Medicare reassignment NPD
• The Glaucoma Care Center of New Jersey Inc

  • Ophthalmology Physician
  • Livingston, NJ
  • NPI 1023534690
  Medicare reassignment NPD
• Joseph a. Deluca, M.D., P.C.

  • Ophthalmology Physician
  • Lyndhurst, NJ
  • NPI 1801073192
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730382797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OVERLOOK RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092231",
            "telephone_number": "973-857-2366",
            "fax_number": "201-896-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711012",
            "telephone_number": "201-896-0096",
            "fax_number": "201-896-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LEE",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zisalo Wancier, M.D.
• Tevin Weems
• Tashia Williams, DNP
• Omar Wilson
• Albert C Wong, D.D.S.
• Nesma Youssef
• Yvhh Limited Liability Company
• Frank V. Zaccaria, D.C.
• Michael Zakko, L.AC.
• Luke Ziaya

• Optometrist in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Optometrist in New Jersey

• 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.
• 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.