GORDON MILES WONG (NPI# 1417949942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417949942 |
| Entity Type | Individual |
| Full Name | GORDON MILES WONG |
| Credential | OD |
| Practice Address |
66 E Washington St Petaluma CA 94952-3165 |
| Mailing Address |
1712 Spyglass Rd Petaluma CA 94954-5700 |
| Practice Telephone | 7077781048 |
| Practice Fax Number | 7077780113 |
| Mailing Telephone | 7077781048 |
| Mailing Fax Number | 7077780113 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8140T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271064 | Gordon W.s. Wong | Massage Therapist | 1236 Waimanu St Ste A, Honolulu, HI 96814-4305 | 2019-11-29 |
| 1306047964 | Gordon Wong | Dentist | 1818 Taraval St, San Francisco, CA 94116-2311 | 2007-05-30 |
| 1447338447 | Gordon G Wong | Optometrist | 7825 Fay Ave Ste 140, La Jolla, CA 92037-4247 | 2006-11-01 |
| 1063596211 | Gordon C Wong | Pharmacist | 155 Heritage Ave, Clovis, CA 93619-7612 | 2006-10-24 |
| 1336243732 | Gordon Wong | Dentist | 401 E 21st St, Oakland, CA 94606-1914 | 2006-09-07 |
| 1710987433 | Gordon Wong | Pharmacist | 16630 Marquez Ave, Pacific Palisades, CA 90272-3233 | 2005-07-22 |
| 1437656980 | Gordon Xuefeng Wong | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-04-11 |
| 1225567472 | Gordon Wong | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-06-09 |
| 1902138787 | Gordon K Wong | Social Worker | 1038 Post St, San Francisco, CA 94109-5603 | 2010-02-04 |
| 1639345184 | Gordon K Wong | Preventive Medicine | 409 W Main St, Alhambra, CA 91801-3433 | 2008-05-05 |
| Street Address |
66 E WASHINGTON ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1366978363 | Eye Care Institute, A Medical Corporation | Optometrist | 1383 N Mcdowell Blvd Ste 100, Petaluma, CA 94954-1190 | 2017-05-11 |
| 1649530536 | Taras Litvin, O.d., Inc. | Optometrist | 921 Transport Way, Suite #18, Petaluma, CA 94954-1461 | 2012-05-24 |
| 1740321710 | Jean Sterrett Brennan | Optometrist | 119 C St, Petaluma, CA 94952-3069 | 2007-02-10 |
| 1699708727 | Gerald Thomas Pittler | Optometrist | 855 Lakeville St Ste 102, Petaluma, CA 94952-7328 | 2006-07-09 |
| 1518939156 | Richard Cole Aston | Optometrist | 345b S Mcdowell Blvd, Petaluma, CA 94954-3507 | 2006-02-07 |
| 1659372365 | Karen Ann Griffith | Optometrist | 320 Petaluma Blvd S, Petaluma, CA 94952-4245 | 2005-08-03 |
| 1437159803 | Ronald Lee Harris | Optometrist | 1225 North Mcdowell Blvd., Petaluma, CA 94954-1112 | 2005-07-28 |
| 1619344918 | Darwin C Tsang | Optometrist | 401 Kenilworth Dr, Inside Target Optical, Petaluma, CA 94952-3400 | 2015-08-21 |
| 1578990552 | Petaluma Eye Care Optometric Associates, Inc. | Optometrist | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | 2013-10-04 |
| 1164770798 | Amy Y. Kao | Optometrist | 1179 N Mcdowell Blvd, Petaluma, CA 94954 | 2012-08-29 |
| Find all providers in PETALUMA | ||||
Please comment or provide details below to improve the information on GORDON MILES WONG.
| 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.