Linda Wong, OD
Individual provider Active NPI Optometrist · San Francisco, CA
NPI 1851871982 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1851871982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 34057TLG (CA)
- Practice address
- 929 Clay St Ste 405
San Francisco, CA 94108-1556 - Phone
- (415) 986-3239
- Fax
- (415) 870-2512
- NPI assigned
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920000145 | CA | Practitioner - Optometry | 8729339486 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34057TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current |
Accepting new patients |
| 20 20 Optometry of Silicon Valley | Optometrist | Current |
Accepting new patients |
| J Pietrantonio OD Inc | Optometrist | Past |
Accepting new patients |
| Marina Eyecare Center | Optometrist | Past | Accepting new patients |
Locations
19459 Stevens Creek Blvd
Ste 110
Cupertino, CA 95014
Phone (408) 996-9886
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310
310 Barber Ct
Milpitas, CA 95035
Phone (408) 342-8101
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
2555 N 1st St
San Jose, CA 95131
Phone (408) 433-0800
Interoperability endpoints
- linda.wong@11050409918468.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34057TLG | CA | Yes |
Addresses
Primary practice location
929 Clay St Ste 405
San Francisco, CA 94108-1556
Mailing address
1980 Autumn Gold Dr
San Jose, CA 95131-2502
Other practice location 1
310 Barber Ct
Milpitas, CA 95035-7922
Phone (408) 432-8101
Other practice location 2
19459 Stevens Creek Blvd Ste 110
Cupertino, CA 95014-7148
Phone (408) 996-9886
Other providers in San Francisco, CA
- Laura Wong
- Laurie Wong
- Lee Ann L Wong
- Liam Wong
- Lila Wong
- Lisa Wong
- Lonnie K Wong
- Lynne My-Linh Wong
- Marcus Wong
- Marcus Wong
All providers in San Francisco, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.