Individual provider Active NPI

Karena Wong, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1760610786
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007435-1 Issued in NY
Practice address
17 Elizabeth St
Room 401
New York, NY 10013-4803
Phone
(212) 226-3937
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007435-1 NY Primary

Addresses

Primary practice location

17 Elizabeth St
Room 401
New York, NY 10013-4803

Mailing address

Advantagecare Physicians, PC
55 Water Street 2ND Floor Cred Dept
New York, NY 10041
Phone (646) 680-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090821000244 NY Practitioner - Optometry 9537213756 Reassigns benefits to 3 organizations
I20230715000335 OH Practitioner - Optometry 9537213756 Reassigns benefits to 1 organization
I20230726003130 IN Practitioner - Optometry 9537213756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TUV007435-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Jun 3, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 14, 2020 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 14, 2020 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Jun 3, 2023 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jun 3, 2023 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jun 3, 2023 Accepting new patients
Downtown Ophthalmology PC Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 208-3866

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

55 Water St
Fl 2
New York, NY 10041

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

4882 E Main St
Ste 200
Columbus, OH 43213
Phone (614) 237-0835

2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500

680 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 986-0125

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1760610786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADVANTAGECARE PHYSICIANS, PC",
            "address_2": "55 WATER STREET 2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10041",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "ROOM 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-226-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KARENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007435-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.