Dixon Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13293 Issued in CA

Practice address

1366 S Riverside Ave
Rialto, CA 92376

Phone

(909) 421-2020

Fax

(909) 285-9586

NPI assigned

Jul 17, 2007

Sex

Male

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 CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wong Eyecare Associates, an Optometric CorporationGroup PAC ID 7911154265, 2 clinicians

Practice addresses (Care Compare)

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.

• Wong Eyecare Associates, an Optometric Corporation

  • Optometrist
  • Rialto, CA
  • NPI 1679859524
  Medicare reassignment Care Compare group NPD Authorized official
• New Insight Optometric Center, Inc.

  • Optometrist
  • San Gabriel, CA
  • NPI 1609084086
  NPD
• Mark Kislinger M.D., Inc.

  dba Foothill Eye Care Services

  • Ophthalmology Physician
  • Glendora, CA
  • NPI 1215089594
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1811196967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767608",
            "telephone_number": "909-421-2020",
            "fax_number": "909-285-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-421-2020",
            "fax_number": "909-285-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DIXON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Trevenia Wiseman
• Dianne Kay Lassman Wolkenhauer, PHD
• Barbara Leigh Woloshin
• Wong Eyecare Associates, an Optometric Corporation
• Dennis Wong, O.D.
• Lawrence L. Wong, D.D.S.
• Norman C K Wong, MD
• Joyce M Woodbury-Harris
• Jacob Ryan Worrell, AMFT
• Daniel Eric Wright

• Optometrist in Rialto, CA
• Providers in Rialto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.