Active NPI
Joseph David Wong, O.D. , C.R.A.
- Optometrist
- Walnut Creek, CA
National Provider Identifier
1992741763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5795T
- Practice address
- 1220 Rossmoor Pkwy
Walnut Creek, CA 94595-2501 - Phone
- (925) 988-7560
- Fax
- (925) 256-6392
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT5795T | CA | Primary |
Addresses
Primary practice location
1220 Rossmoor Pkwy
Walnut Creek, CA 94595-2501
Mailing address
6880 Charing Cross Rd
Berkeley, CA 94705-1719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5795T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992741763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6880 CHARING CROSS RD",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 ROSSMOOR PKWY",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945952501",
"telephone_number": "925-988-7560",
"fax_number": "925-256-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JOSEPH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D. , C.R.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT5795T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.