Dianne Lee Wong is a San Rafael, California based female Optometrist with 23 years of experience in Optometry. She completed her graduation from University Of California - School Of Optometry in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dianne Lee Wong is 11780 for Optometry in California. Dianne Lee Wong 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dianne Lee Wong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
23+ years
Medical School Attended:
University Of California - School Of Optometry
Graduation Year:
2001
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
901 E St, Ste 285, San Rafael, California, 94901-2850
Phone:
415-454-5565
Fax:
415-454-2957
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1254394349
Enrollment ID:
I20041109001225
NPI Number:
1750384061
NPI Enumeration Date:
31 May, 2005
NPI Last Update On:
03 Jan, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dianne Lee Wong are as mentioned below.
License Number
Specialization
State
Status
11780
Optometry
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dianne Lee Wong has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Permanente Medical Group Inc (8921910225)
7522
Other Medical Identifiers:
Other legacy medical identifiers associated with Dianne Lee Wong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GR0015750
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
901 E St, Ste 285 San Rafael, California
Zip:
94901-2850
Phone Number:
415-454-5565
Fax Number:
415-454-2957
Patients can reach Dianne Lee Wong at 901 E St, Ste 285, San Rafael, California or can call to book an appointment on 415-454-5565. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.