Thomas Wai-tim Wong, OD | |
3 Columbus Cir, New York, NY 10019-8760 | |
(212) 247-5848 | |
Not Available |
Full Name | Thomas Wai-tim Wong |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3 Columbus Cir, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922417518 | NPI | - | NPPES |
CB242473 | Other | CA | MEDICARE PTAN SO CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 15205TLG (California) | Secondary |
152W00000X | Optometrist | 008704 (New York) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Thomas Wai-tim Wong, OD 4482 Village Dr Apt M, Chino Hills, CA 91709-3758 Ph: (909) 469-8773 | Thomas Wai-tim Wong, OD 3 Columbus Cir, New York, NY 10019-8760 Ph: (212) 247-5848 |
Lipton Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 Division St, New York, NY 10002 Phone: 212-393-1341 | |
Cohen's Fashion Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 167 W 72nd St, New York, NY 10023 Phone: 212-769-1410 | |
Marta Fabrykowski, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 210 E 64th St, New York, NY 10065 Phone: 212-838-9200 | |
Dina Solanky, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3929 Broadway, New York, NY 10032 Phone: 212-568-4693 Fax: 212-568-4694 | |
Dr. Lisa Chen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 551 5th Ave Fl 2, New York, NY 10176 Phone: 212-719-4000 Fax: 212-382-2123 | |
Gary Tracy, Od P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 210 W 79th St, New York, NY 10024 Phone: 212-877-5840 Fax: 212-877-5841 | |
Hmy Ophthalmic Dispenser Pc Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 212 3rd Ave, New York, NY 10003 Phone: 212-982-4469 |