DR. ANDREA WAI YAN WONG (NPI# 1720387715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720387715 |
| Entity Type | Individual |
| Full Name | DR. ANDREA WAI YAN WONG |
| Credential | O.D. |
| Practice Address |
1066 S White Rd Suite 170 San Jose CA 95127-3812 |
| Mailing Address |
2670 S White Rd Suite 200 San Jose CA 95148-2071 |
| Practice Telephone | 4087299700 |
| Mailing Telephone | 4087729429 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14015 TLG | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265725097 | Andrea Wong | Anesthesiology | 180 Park Club Ln Ste 250, Williamsville, NY 14221-5259 | 2011-05-26 |
| 1841229317 | Andrea Wong | Internal Medicine | 3285 Claremont Way, Napa, CA 94558-3313 | 2006-06-30 |
| 1699188904 | Andrea Wong | Optometrist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2014-06-04 |
| 1891110086 | Andrea Wong | Chiropractor | 670 Monterey Pass Rd, Suite 100, Monterey Park, CA 91754-2436 | 2014-02-24 |
| Street Address |
1066 S WHITE RD SUITE 170 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609189786 | Son Trang Nguyen | Optometrist | 1066 S White Rd, San Jose, CA 95127-3812 | 2010-07-19 |
| 1417511437 | Philamer Arandia | Family Medicine | 1066 S White Rd, San Jose, CA 95127-3812 | 2019-04-25 |
| 1669994547 | Carla Krystle Gayle | Physician Assistant | 1066 S White Rd, San Jose, CA 95127-3812 | 2017-07-12 |
| 1205367703 | Mital Patel | Physician Assistant | 1066 S White Rd, San Jose, CA 95127-3812 | 2017-03-26 |
| 1326498973 | Sosamma Ashley | Nurse Practitioner | 1066 S White Rd, San Jose, CA 95127 | 2016-06-14 |
| 1912390147 | Samantha Ann Varghese | Physician Assistant | 1066 S White Rd, San Jose, CA 95127-3812 | 2015-03-12 |
| 1336565159 | Megan Cosgrove | Physician Assistant | 1066 S White Rd, San Jose, CA 95127-3812 | 2014-03-17 |
| 1972894749 | Rabea Bounar | Physician Assistant | 1066 S White Rd, Suite 170, San Jose, CA 95127-3812 | 2011-04-27 |
| 1487943577 | Hector Erwin Castroverde Busante | Physician Assistant | 1066 S White Rd, San Jose, CA 95127-3812 | 2011-03-30 |
| 1811296635 | Christiane Maithy Le-mahon | Physician Assistant | 1066 S White Rd, Suite 170, San Jose, CA 95127-3812 | 2011-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
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| 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 |
|---|---|---|---|---|
| 1639796998 | Jamie Ann Ngo | Optometrist | 1141 Di Napoli Dr, San Jose, CA 95129-4014 | 2020-07-02 |
| 1104319185 | Hien Anh Nguyen | Optometrist | 1055 E Brokaw Rd Ste 50, San Jose, CA 95131-2318 | 2018-06-13 |
| 1285121723 | Mai-anh Chtn Nguyen, O.d., Inc | Optometrist | 1661 Burdette Dr Ste H, San Jose, CA 95121-1681 | 2018-04-19 |
| 1407367923 | Justina Cho | Optometrist | 2272 Hendy Ln, San Jose, CA 95124-4415 | 2017-10-24 |
| 1326562794 | Melissa Lau | Optometrist | 1183 S De Anza Blvd Ste 50, San Jose, CA 95129-3659 | 2017-07-27 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1508304080 | Anjie Angela Zheng | Optometrist | 2110 Forest Ave Ste B, San Jose, CA 95128-1469 | 2017-02-06 |
| 1427592773 | Yunwei Chang | Optometrist | 3845 Evangelho Cir, San Jose, CA 95148-4374 | 2016-12-06 |
| 1598118325 | Han Duong Optometry, Inc | Optometrist | 630 Blossom Hill Rd Ste 20, San Jose, CA 95123-3056 | 2016-07-17 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
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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.