Jamie Wong OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAMIE WONG OD INC

Practice address

1895 Mowry Ave Ste 117
Fremont, CA 94538-1736

Phone

(510) 797-8770

NPI assigned

Feb 9, 2020

Organization subpart

No

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

Authorized official

Name

Jamie Wong, ODNPI 1003194234

Title

Owner

Phone

(510) 797-8770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Jamie Wong, O.D.

  • Optometrist
  • Fremont, CA
  • NPI 1003194234
  Medicare reassignment Care Compare group Authorized official
• Linh Le

  • Optometrist
  • Berkeley, CA
  • NPI 1427330885
  Medicare reassignment Care Compare group NPD
• Emily Meiyu Lin, OD

  • Optometrist
  • San Ramon, CA
  • NPI 1275969271
  Medicare reassignment Care Compare group NPD
• Harry W. Chan, O.D.

  • Optometrist
  • Fremont, CA
  • NPI 1750331237
  NPD (past)

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1831721778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 PORT SAILWOOD DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945602667",
            "telephone_number": "510-797-8770",
            "fax_number": "510-797-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE STE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381736",
            "telephone_number": "510-797-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE WONG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-797-8770",
        "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": []
}

• Leila Anne Jamasbi
• Gemma Jean Paradero Jamena, MD
• James J Song MD Professional Corp
• James N Cohn MD Inc
• James Petros MD Inc
• Jan Eric Henstorf, M.D.Apc
• Jina L. Janavs, MD
• Jagmohan Singh Jandu
• Ryan Jann, BS, RBT
• Denise Joice Janolo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.