KRISTA WONG (NPI# 1124504204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124504204 |
| Entity Type | Individual |
| Full Name | KRISTA WONG |
| Credential | OD |
| Practice Address |
14501 Hindry Ave Hawthorne CA 90250 |
| Mailing Address |
2927 Oakwood Ln Torrance CA 90505-7121 |
| Practice Telephone | 3105360327 |
| Mailing Telephone | 3102009728 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33958 | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3525 Pacific Coast Hwy Ste E, Torrance, CA 905056656 | 3103257799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969281 | Krista Michelle Wong | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-07 |
| Street Address |
14501 HINDRY AVE |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487764098 | Costco Wholesale Corporation | Pharmacy | 14501 Hindry Ave, Hawthorne, CA 90250 | 2006-08-30 |
| 1568855781 | Costco Wholesale Corporation | Hearing Aid Equipment | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2015-03-12 |
| 1144619602 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2015-01-21 |
| 1114293636 | Lena Yang | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250 | 2012-03-29 |
| 1508131053 | James Gabelich | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2012-03-16 |
| 1477866051 | Michelle Ann Garcia Silsby | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2010-07-23 |
| 1669785952 | Vuvy Hoang Le | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2010-07-15 |
| 1861556177 | Diana Marie Risco | Optometrist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1770069650 | Dung Kim Nguyen | Optometrist | 4477 W 118th St Ste 101, Hawthorne, CA 90250-2256 | 2018-07-13 |
| 1780988113 | Naomi R. Knoller, O.d., P.C. | Optometrist | 40 Saw Mill River Rd Ste Fb2, Hawthorne, NY 10532-1528 | 2010-12-28 |
| 1902942204 | John E. Maanum, O.d. | Optometrist | 13427 Inglewood Ave, Hawthorne, CA 90250-5608 | 2007-01-30 |
| 1831275502 | James Walter Kelsey | Optometrist | 13416 Hawthorne Blvd, Suite B, Hawthorne, CA 90250 | 2006-10-27 |
| 1932289261 | Donald K Jaeger | Optometrist | 186 Warburton Ave, Hawthorne, NJ 07506-2531 | 2006-10-17 |
| 1477646487 | Robert J Koppany | Optometrist | 4840 W 123rd St, Hawthorne, CA 90250-3514 | 2006-10-02 |
| 1255817136 | Gina Huang | Optometrist | 13624 Hawthorne Blvd Ste 201, Hawthorne, CA 90250-5818 | 2018-07-13 |
| 1174862635 | Dr James W Kelsey Optometrist, Inc | Optometrist | 13416 Hawthorne Blvd, B, Hawthorne, CA 90250 | 2013-02-04 |
| 1043537087 | Bulbin Optometry PC | Optometrist | 186 Warburton Ave, Hawthorne, NJ 07506-2531 | 2010-04-30 |
| 1487890695 | Robert Koppany, Od, A Professional Corp. | Optometrist | 4840 W 123rd St, Hawthorne, CA 90250-3514 | 2008-12-18 |
| Find all providers in HAWTHORNE | ||||
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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.