Organization Active NPI

Dr. Angela Wong, Inc

  • Optometrist
  • Union City, CA
National Provider Identifier
1740924000
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. ANGELA WONG, INC
Practice address
34724 Alvarado Niles Rd
Union City, CA 94587-4502
Phone
(510) 489-5510
NPI assigned
Apr 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Authorized official

Name
Dr. Angela Wong, ODNPI 1275195141
Title
Optometrist/ President
Phone
(510) 489-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

34724 Alvarado Niles Rd
Union City, CA 94587-4502

Mailing address

34724 Alvarado Niles Rd
Union City, CA 94587-4502

Other names 1

  • Family Vision Care Optometrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517002573 CA Part B Supplier - Clinic/Group Practice 4880071695 Receives reassigned benefits from 2 practitioners
Practice locations: Union City, CA

National Provider Directory

National Provider Directory

Locations

34724 Alvarado Niles Rd
Union City, CA 94587
Phone (510) 489-5510

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650672000000",
    "number": "1740924000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34724 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34724 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874502",
            "telephone_number": "510-489-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANGELA WONG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OPTOMETRIST/ PRESIDENT",
        "authorized_official_telephone_number": "510-489-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care Optometrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.