Organization Active NPI

James H. Wong, OD, Professional Optometric Corporation

Doing business as Drs. Wong, Totsubo, Ng & Hom, Optometrists

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1871677344
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7604TLG Issued in CA
Legal business name
JAMES H. WONG, OD, PROFESSIONAL OPTOMETRIC CORPORATION
Doing business as
Drs. Wong, Totsubo, Ng & Hom, Optometrists
Practice address
1826 Buchanan Street
Suite a
San Francisco, CA 94115-3211
Phone
(415) 931-1903
Fax
(415) 931-1904
NPI assigned
Oct 24, 2006
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mr. James H Wong, O.D.NPI 1588625164
Title
President
Phone
(415) 931-1903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7604TLG CA Primary

Addresses

Primary practice location

1826 Buchanan Street
Suite a
San Francisco, CA 94115-3211

Mailing address

1826 Buchanan Street
Suite a
San Francisco, CA 94115-3211
Phone (415) 931-1903

Other identifiers 2

IdentifierTypeStateIssuer
SD0076040MedicaidCA
GSD004300MedicaidCA

Other names 1

  • Drs. Wong, Totsubo, Ng & Hom, Optometrists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205000115 CA Part B Supplier - Clinic/Group Practice 2961635941 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1826 Buchanan St
#A
San Francisco, CA 94115
Phone (415) 931-1903

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1871677344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 BUCHANAN STREET",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153211",
            "telephone_number": "415-931-1903",
            "fax_number": "415-931-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 BUCHANAN STREET",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153211",
            "telephone_number": "415-931-1903",
            "fax_number": "415-931-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. WONG, OD, PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-931-1903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7604TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0076040",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Wong, Totsubo, Ng & Hom, Optometrists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.