Jacqueline W Wong (NPI# 1760479323, PAC ID# 8921157082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1760479323 |
| PAC ID by PECOS | 8921157082 |
| Professional Enrollment ID | I20090519000692 |
| Full Name | Jacqueline W Wong |
| Address |
945 Hildebrand Ne Ln 235 Summit Eye Consultants Bainbridge Island WA 98110-2877 |
| Phone Number | 2062013669 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500001 | NORTHWEST HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 945 Hildebrand Ne Ln, 235 Summit Eye Consultants, Bainbridge Island, WA 98110-2877 | 2062013669 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 87% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
945 HILDEBRAND NE LN 235 SUMMIT EYE CONSULTANTS |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip | 98110-2877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serena Bouska Matthews | Occupational Therapy | 11287 Fieldstone Ne Ln, Bainbridge Island, WA 98110 | |
| Gloria W Sayler | Clinical Social Worker | 16821 Agate Pass Rd Ne, Bainbridge Is, WA 98110-1042 | |
| Jakdej J Nikomborirak | Sleep Medicine | 9638 Ne Lafayette Ave, Bainbridge Island, WA 98110-1115 | |
| Jane Ellen Curtis | Psychologist, Clinical | 11290 Sunrise Dr Ne, Suite B, Bainbridge Island, WA 98110-1353 | |
| Sharon L Kuznetsov | Occupational Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Keith R Heinzelman | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Tricia Ann Fong | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Kelly B Kim-campo | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Garett Martin Jacobson | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Robyn H Dabell | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Find all physicians in zip 98110 | |||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BAINBRIDGE ISLAND + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jacqueline W Wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.