NPIMap

Organization Active NPI

Winson Ong OD

Doing business as Family Optometric Vision Care

  • Optometrist
  • Antioch, CA
National Provider Identifier
1770130932
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WINSON ONG OD
Doing business as
Family Optometric Vision Care
Practice address
5109 Lone Tree Way
Antioch, CA 94531-8484
Phone
(925) 757-5560
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Winson Ong, ODNPI 1821132143
Title
Ceo
Phone
(925) 757-5560

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

5109 Lone Tree Way
Antioch, CA 94531-8484

Mailing address

5109 Lone Tree Way
Antioch, CA 94531-8484

Other names 1

  • Family Optometric Vision Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203001958 CA Part B Supplier - Clinic/Group Practice 8820421993 Receives reassigned benefits from 3 practitioners
Practice locations: Antioch, CA

National Provider Directory

National Provider Directory

Locations

5109 Lone Tree Way
Antioch, CA 94531
Phone (925) 757-5560

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1770130932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-757-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSON ONG OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "WINSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-757-5560",
        "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 Optometric Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Optometric Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.