Individual provider Active NPI

Joyce Luan Wong, OD

  • Optometrist
  • El Paso, TX
National Provider Identifier
1962453423
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4899TG Issued in TX
Practice address
7181 Westwind Dr
Ste. D
El Paso, TX 79912-1782
Phone
(915) 833-1928
Fax
(915) 833-1933
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4899TG TX Primary
Optometrist 152W00000X 1135 LA

Addresses

Primary practice location

7181 Westwind Dr
Ste. D
El Paso, TX 79912-1782

Mailing address

7181 Westwind Dr
Ste. D
El Paso, TX 79912-1782
Phone (915) 833-1928

Other identifiers 1

IdentifierTypeStateIssuer
093479602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090311000221 TX Practitioner - Optometry 4880750975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1135LAMDOptometrist
4899TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

6901 Helen of Troy
Ste E1
El Paso, TX 79911
Phone (915) 351-0302

7181 Westwind Dr
Ste D
El Paso, TX 79912
Phone (915) 833-1928

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1962453423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 WESTWIND DR",
            "address_2": "STE. D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121782",
            "telephone_number": "915-833-1928",
            "fax_number": "915-833-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7181 WESTWIND DR",
            "address_2": "STE. D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121782",
            "telephone_number": "915-833-1928",
            "fax_number": "915-833-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOYCE",
        "middle_name": "LUAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4899TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093479602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.