Timothy C Wong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10748T Issued in CA

Practice address

6430 W Sunset Blvd Ste 703
Los Angeles, CA 90028-7910

Phone

(323) 464-3228

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Timothy C Wong, OD, Apc

  • Optometrist
  • Los Angeles, CA
  • NPI 1073772240
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1851461065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 W SUNSET BLVD STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 W SUNSET BLVD STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287910",
            "telephone_number": "323-464-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10748T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0107480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydni Mieko Wong
• Sze Wing Wong
• Terence Wong, PHARM.D.
• Teresa Wong
• Thanh Wong
• Tin Wong, DO
• Tracy May Wong, PHARMD
• Valerie Samantha K Wong, MD
• William David Wong, MD
• Wing-Yen Wong, MD

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.