DR. IVAN WONG (NPI# 1023170073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023170073 |
| Entity Type | Individual |
| Full Name | DR. IVAN WONG |
| Credential | O.D. |
| Practice Address |
7 Backus Ave Ste 250 Danbury CT 06810-7493 |
| Practice Telephone | 2037439897 |
| Practice Fax Number | 2037436419 |
| Mailing Telephone | 2037439897 |
| Mailing Fax Number | 2037436419 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CT002529 | CT | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
CT002529 | CT | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
CT2529 | CT | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
CT002529 | CT | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
CT2529 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 7058856 | 01 |
| CT | ANTHEM BLUE CROSS BLUE SH | 09002529CT01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356608426 | Ivan Wong | Internal Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2012-04-13 |
| 1043527146 | Ivan Wong | Pharmacist | 17615 140th Ave Se, Renton, WA 98058 | 2010-09-10 |
| 1043472772 | Ivan Ho-bun Wong | Specialist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2008-06-25 |
| Street Address |
7 BACKUS AVE STE 250 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-7493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659423523 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7 Backus Ave Ste 250, Danbury, CT 06810 | 2007-01-18 |
| 1114078169 | Dr. Wong & Associates, Ltd. | Optometrist | 7 Backus Ave Ste 250, Danbury, CT 06810-7493 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073666582 | Heejung Lauren Suh | Optometrist | 7 Backus Ave, Danbury, CT 06810-7422 | 2007-01-19 |
| 1588644033 | Mark Wolmer | Optometrist | 62 North St, Danbury, CT 06810-5620 | 2006-01-20 |
| 1114912789 | Michael T Woronick | Optometrist | 277 White St, Danbury, CT 06810-6934 | 2005-09-20 |
| 1467947812 | Roderick Swift | Optometrist | 65 North St, Danbury, CT 06810-5640 | 2018-06-28 |
| 1235632381 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 72 Newtown Rd, Danbury, CT 06810-6254 | 2018-03-15 |
| 1538533237 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 65 North St, Danbury, CT 06810-5640 | 2015-11-18 |
| 1578990818 | Yuan S Tran | Optometrist | 69 Sand Pit Rd, Suite 101, Danbury, CT 06810-4004 | 2013-10-01 |
| 1568772051 | Amy Susan Abraham | Optometrist | 7 Backus Ave, Suite 250, Danbury, CT 06810 | 2010-10-18 |
| 1962717678 | Jennifer Friedman Od PC | Optometrist | 7 Backus Ave, Danbury Fair Mall, Danbury, CT 06810-7422 | 2010-08-18 |
| 1639400112 | Dr. Mark R. Wolmer, P.C. | Optometrist | 62 North St, Danbury, CT 06810-5620 | 2010-01-22 |
| Find all providers in DANBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.