Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Amanda Wong, OD

Individual provider Optometrist · NPI 1053963363

Lisa Amanda Wong, OD is an Optometry in Danville, California. Graduated from Illinois College of Optometry at Chicago in 2019, 7 years ago. Practices with Vision Dynamics Optometric Center, a 2-clinician group. Licensed in California and New York.

Years since qualifying
7
Trained at
Illinois College of Optometry at Chicago
Licensed in
CA, NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

417 Sycamore Valley Rd W
Danville, CA 94526-3951
Phone: (925) 838-3021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34769 (CA)
Optometrist Taxonomy 152W00000X · Licence 009018-01 (NY)

Record details

NPI number1053963363
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESSeptember 2, 2023
Certification dateSeptember 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2019 (7 years in practice)
Group practice Vision Dynamics Optometric Center — 2 clinicians
Accepts Medicare assignment Not indicated

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