DIANNE LEE WONG (NPI# 1750384061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750384061 |
| Entity Type | Individual |
| Full Name | DIANNE LEE WONG |
| Credential | O.D. |
| Practice Address |
901 E St Ste 285 San Rafael CA 94901-2850 |
| Practice Telephone | 4154545565 |
| Practice Fax Number | 4154542957 |
| Mailing Telephone | 4154545565 |
| Mailing Fax Number | 4154542957 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11780 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0015750 | 05 |
| Street Address |
901 E ST STE 285 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253919 | Marin Ophthalmic Consultants, A Medical Corporation | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-27 |
| 1861917841 | Deloge Anesthesia Services Inc A Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | 901 E St, San Rafael, CA 94901-2850 | 2017-08-10 |
| 1053530964 | Margaret Harrington | Anesthesiology | 901 E St, 270, San Rafael, CA 94901-2850 | 2007-04-25 |
| 1356494892 | Tanaz Mohammadi | Optometrist | 901 E St, Suite 285, San Rafael, CA 94901-2850 | 2007-01-19 |
| 1336130525 | Christian K Kim | Ophthalmology | 901 E St, Suite 285, San Rafael, CA 94901-2850 | 2005-11-04 |
| 1912996711 | Susan Jean Cunningham | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-10-14 |
| 1689679961 | Nat Jay Finkel | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-06-14 |
| 1619970928 | John R Campbell | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1053314351 | Steven Vermillion | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1114920477 | John C Shin | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1003265588 | Christine Yim | Optometrist | 4000 Civic Center Dr Ste 200a, San Rafael, CA 94903-5233 | 2016-06-06 |
| 1326326091 | David Grisham | Optometrist | 615 B St, Suite 2, San Rafael, CA 94901-3805 | 2011-07-29 |
| 1538493358 | Dieu Vuong | Optometrist | 5800 Northgate Mall # 36, San Rafael, CA 94903-3691 | 2009-09-25 |
| 1861659815 | Dr Michael Y Chew Od | Optometrist | 807 D St, San Rafael, CA 94901-2813 | 2008-05-19 |
| 1831249515 | Jeffrey Takashi Iwami | Optometrist | 1436 4th St, San Rafael, CA 94901-2812 | 2007-01-12 |
| 1235209180 | Robert B Levine | Optometrist | 1001 Grand Avenue, San Rafael, CA 94901 | 2006-11-08 |
| 1689755605 | Howard H Ellenberger | Optometrist | 901 A St, Suite C, San Rafael, CA 94901-3043 | 2006-10-17 |
| 1366474413 | Jeffrey Dean Salman | Optometrist | 1924 4th St, San Rafael, CA 94901-2697 | 2006-07-07 |
| 1386625283 | Matthew S Oppegaard | Optometrist | 78 Novato St, #12, San Rafael, CA 94901-4685 | 2005-11-08 |
| 1689287880 | Miles Sabatini | Optometrist | 4000 Civic Center Dr Ste 200, San Rafael, CA 94903-5232 | 2020-08-26 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on DIANNE LEE 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.