Peter Fong (NPI# 1023352689, PAC ID# 4587803655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023352689 |
| PAC ID by PECOS | 4587803655 |
| Professional Enrollment ID | I20130621000000 |
| Full Name | Peter Fong |
| Organization Legal Name | HARBOR OPTICS INC |
| Address |
11310 Beach Channel Dr Rockaway Park NY 11694-2209 |
| Phone Number | 7184741234 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8224051461 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 | 7184741234 | HARBOR OPTICS INC |
| Organization Legal Name | HARBOR OPTICS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek L Wilder | Optometry | Harbor Optics Inc | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 |
| Susan E Hong | Optometry | Harbor Optics Inc | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 |
| Susan Mun | Optometry | Harbor Optics Inc | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 |
| Street Address |
11310 BEACH CHANNEL DR |
| City | ROCKAWAY PARK |
| State | NY |
| Zip | 11694-2209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek L Wilder | Optometry | Harbor Optics Inc | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 |
| Susan E Hong | Optometry | Harbor Optics Inc | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 |
| Susan Mun | Optometry | Harbor Optics Inc | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Guy | Gastroenterology | 14404 Rockaway Beach Blvd, Neponsit, NY 11694-1141 | |
| Victoria M Filippi Backus | Nurse Practitioner | St John's Medical Services PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Melinda A Anamdi | Physician Assistant | Harshit M. Patel Physician, Md, PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Walter W Valesky Jr. | Emergency Medicine | University Physicians of Brooklyn, Inc. | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Louis Jared Siegel | Dermatology | St John's Medical Services PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Daniel Jonathan Greenwald | Psychologist, Clinical | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| Catherine Connolly | Psychologist, Clinical | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| John A Jarbath | Podiatry | 209 Beach 125th St, Belle Harbor, NY 11694-1703 | |
| Marcia Ramos | Clinical Social Worker | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| David H Goldstein | Psychologist, Clinical | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| Find all physicians in zip 11694 | |||
| City | ROCKAWAY PARK |
| Zip Code | 11694 |
| Specialty | OPTOMETRY |
| City + Specialty | ROCKAWAY PARK + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.