NPIMap

Individual provider Active NPI

Alexander Wong, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1831881895
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5724 Issued in MA
Practice address
850 Harrison Ave FL 3
Boston, MA 02118-4001
Phone
(617) 414-4020
NPI assigned
May 25, 2023
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011770 IL
Optometrist 152W00000X OPT5724 MA Primary

Addresses

Primary practice location

850 Harrison Ave FL 3
Boston, MA 02118-4001

Mailing address

850 Harrison Ave FL 3
Boston, MA 02118-4001
Phone (617) 414-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230905001868 IL Practitioner - Optometry 8527421817 Reassigns benefits to 1 organization
I20240827003755 MA Practitioner - Optometry 8527421817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

2005 Bay St
Suite 206
Taunton, MA 02780-1085
Phone (508) 823-7473

22 Christy Dr
Brockton, MA 02301-1839
Phone (508) 588-3060

511 W Grove St
Suite 102
Middleboro, MA 02346-1458
Phone (508) 947-8868

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Eye Associates, Inc. Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Illinois College of Optometry Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Boston University Eye Associates, Inc. Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

3241 S Michigan Ave
Ste 1
Chicago, IL 60616
Phone (312) 225-6200

850 Harrison Ave
#2
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 414-4020

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

22 Christy Dr
Ste 1
Brockton, MA 02301
Phone (508) 588-3060

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

Interoperability endpoints

  • Direct secure messaging: awong246793@direct.bmc.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1831881895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011770",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.