Diana Wong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003459 Issued in CO

Practice address

3459 W 32ND Ave
Denver, CO 80211-3103

Phone

(303) 433-5820

NPI assigned

Mar 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Vista Eye Care, PCGroup PAC ID 8123152113, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vista Eye Care, PC

  • Optometrist
  • Thornton, CO
  • NPI 1326360900
  Medicare reassignment Care Compare group NPD
• Urban Eyes Vision Care, P.C.

  • Optometrist
  • Denver, CO
  • NPI 1174848105
  Medicare reassignment NPD
• Vision & Eye Health Associates

  • Optometrist
  • Lake Geneva, WI
  • NPI 1487704128
  NPD (past)

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552694400000",
    "number": "1972062289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 VIRIDIAN DR APT 381",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 W 32ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113103",
            "telephone_number": "303-433-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2019-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Lee Womer, M.D.
• Belane Belayhun Wondimu
• Ban Ban Wong, L.AC.
• Caitlyn Anna Lee Wong, OD
• Corrine Wong, M.D.
• Julia Waikee Wong, DO
• Kim E Wong, PA
• Maryanna Wong
• Matthew H. Wong, M.D.
• Melanie M Wong, M.D.

• Optometrist in Denver, CO
• Providers in Denver, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.