Physician Compare National (NPI:1790801439)

HEALTHCARE PROVIDER: DORIS HWOI SHAN 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	1790801439
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901960558
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090127000594
	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	DORIS
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DORIS H WONG OPTOMETRIC CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6507095882
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5580 SPRINGDALE AVE E
	Group Practice or individual's line 1 address
Line 2 Street Address	FUTURE VISON OPTOMETRY
	Group Practice or individual's line 2 address
City	PLEASANTON
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945883707
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9254633100
	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