Individual provider Active NPI

Byron M. W. Wong, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1790832384
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5392 Issued in HI
Practice address
1481 S King St
Suite 423
Honolulu, HI 96814-2506
Phone
(808) 942-9686
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5392 HI Primary

Addresses

Primary practice location

1481 S King St
Suite 423
Honolulu, HI 96814-2506

Mailing address

1481 S King St
Suite 423
Honolulu, HI 96814-2506
Phone (808) 942-9686

Other identifiers 1

IdentifierTypeStateIssuer
02129501MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001181 HI Practitioner - Ophthalmology 2961437983 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1481 S King St
Suite 423
Honolulu, HI 96814-2600
Phone (808) 942-9686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5392HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon K. W. Wong, M.D. PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194048000000",
    "number": "1790832384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 423",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-942-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 423",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-942-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BYRON",
        "middle_name": "M. W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.