Individual provider Active NPI

Julie Wong, O.D.

  • Optometrist
  • Laguna Hills, CA
National Provider Identifier
1861931750
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11239 Issued in CA
Practice address
24022 Calle de la Plata Ste 300
Laguna Hills, CA 92653-3629
Phone
(949) 284-7487
Fax
(949) 595-4459
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11239 CA Primary

Addresses

Primary practice location

24022 Calle de la Plata Ste 300
Laguna Hills, CA 92653-3629

Mailing address

625 The City Drive
Suite 100
Orange, CA 92868
Phone (714) 703-8077

Other practice location 1

625 The City Dr S
Suite 100
Orange, CA 92868-4924
Phone (714) 703-8077

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170922002659 CA Practitioner - Optometry 2466726823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Eye GroupGroup PAC ID 0446287361, 7 clinicians

Practice addresses (Care Compare)

19671 Beach Blvd
Suite 400
Huntington Beach, CA 92648-5930
Phone (714) 842-0651

4220 Von Karman Ave
Suite 100
Newport Beach, CA 92660-2056
Phone (949) 854-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Clarity Eye Group Optometrist CurrentSince Feb 14, 2022 Accepting new patients
Jeffrey V. Winston, MD a Professional Corp Optometrist CurrentSince Aug 17, 2021 Accepting new patients
Luis a Chanes M D Inc CurrentSince May 13, 2023 Accepting new patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Thomas S. Tooma, M.D. a Professional Corporation Past Accepting new patients
East-West Eye Institute a Medical Corporation Past Accepting new patients

Locations

1400 N Harbor Blvd
Ste 130
Fullerton, CA 92835
Phone (714) 750-8443

1400 N Harbor Blvd
Ste 101
Fullerton, CA 92835
Phone (714) 888-2080

19671 Beach Blvd
Ste 400
Huntington Beach, CA 92648
Phone (714) 842-0651

24022 Calle de la Plata
Ste 300
Laguna Hills, CA 92653
Phone (949) 284-7487

24022 Calle de la Plata
Ste 3
Laguna Hills, CA 92653

27871 Medical Center Rd
Ste 120
Mission Viejo, CA 92691
Phone (714) 901-2006

25485 Medical Center Dr
Ste 212
Murrieta, CA 92562
Phone (951) 417-1607

4220 Von Karman Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 284-7428

3155 Sedona Ct
Ste 100
Ontario, CA 91764
Phone (909) 605-1975

3655 Nobel Dr
Ste 130
San Diego, CA 92122
Phone (858) 283-5371

2621 S Bristol St
Ste 205
Santa Ana, CA 92704
Phone (714) 557-5777

23550 Hawthorne Blvd
Ste 2020
Torrance, CA 90505

23550 Hawthorne Blvd
Torrance, CA 90505
Phone (310) 784-2020

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1861931750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 THE CITY DRIVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-703-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533629",
            "telephone_number": "949-284-7487",
            "fax_number": "949-595-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 The City Dr S",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684924",
            "country_code": "US",
            "telephone_number": "714-703-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.