Physician Compare National (NPI:1225021017)

HEALTHCARE PROVIDER: ALEXANDER WONG O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225021017
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749360246
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080109000895
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WONG
	Individual professional last name
Provider First Name	ALEXANDER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	555 E PACIFIC COAST HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	LONG BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	908065579
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5624949958
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y