DR. ALICIA X WONG (NPI# 1326525486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326525486 |
| Entity Type | Individual |
| Full Name | DR. ALICIA X WONG |
| Credential | OD |
| Practice Address |
136 N Cass Ave Westmont IL 60559-1604 |
| Practice Telephone | 6309692807 |
| Mailing Telephone | 6309692807 |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 046011357 | IL | Eye and Vision Services Providers |
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
046011357 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 046011357 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 W 18th St, Chicago, IL 606083148 | 3122615503 | |
| 1515 Sheridan Rd, Wilmette, IL 600911822 | 8472517211 | |
| 17-10 Fair Lawn Ave, Fair Lawn, NJ 074102324 | 2017947977 | |
| 801 N Cass Ave Ste 203, Westmont, IL 605591162 | 4304914941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053816421 | Alicia Wong | Chiropractor | 94-1221 Ka Uka Blvd # B205, Waipahu, HI 96797-6202 | 2018-03-28 |
| 1003841347 | Alicia K Wong | Dentist | 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 | 2006-07-12 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1417474768 | Alicia Anne Halim Wong | Pharmacist | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2017-08-28 |
| 1710410808 | Alicia A Wong | Family Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2017-04-06 |
| Street Address |
136 N CASS AVE |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669574794 | Sharon Mary Luckhardt | Optometrist | 136 N Cass Ave, Westmont, IL 60559-1604 | 2006-09-01 |
| 1881796589 | David A. Maze | Optometrist | 136 N Cass Ave, Westmont, IL 60559-1604 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962639781 | Plano Child Development Center | Optometrist | 5401 S Wentworth Ave Ste 14a, Chicago, IL 60609-6300 | 2009-06-18 |
| 1932352994 | Developmental Vision Center | Optometrist | 2075 Wiesbrook Rd, Oswego, IL 60543-8312 | 2008-11-03 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1881812162 | Dr Neil W Margolis Od PC | Optometrist | 3250 N. Arlington Heights Rd, Suite 109, Arlington Heights, IL 60004-1534 | 2007-04-23 |
| 1821196114 | Jeffrey H. Getzell | Optometrist | 1740 N. Ridge Ave., Ste. 100-b, Evanston, IL 60201-5918 | 2006-09-20 |
| 1750330411 | Vision Salon Eye Care Associates | Optometrist | 13046 Western Ave, Blue Island, IL 60406-2419 | 2006-05-09 |
| 1851741714 | Brain-eye Evolution At 730 North | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2016-06-21 |
| 1760849681 | Dynamic Center for Vision Therapy, P.C. | Optometrist | 1891 Bay Scott Cir, Suite 109, Naperville, IL 60540-1137 | 2016-01-22 |
| 1851786214 | Vision Development and Rehabilitation Consultants LLC | Optometrist | 360 S Waukegan Rd, Suite A2, Deerfield, IL 60015-5653 | 2015-04-02 |
| 1982982385 | Clarendon Vision Development Center | Optometrist | 103 Ogden Ave, Clarendon Hills, IL 60514-1027 | 2011-08-02 |
| Find all providers with the same taxonomy | ||||
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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.