Provider Demographics
NPI:1114902319
Name:ONG, CATHERINE D (OD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:D
Last Name:ONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 HIGHWAY 6
Mailing Address - Street 2:SUITE 800
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5097
Mailing Address - Country:US
Mailing Address - Phone:281-980-3937
Mailing Address - Fax:281-313-0505
Practice Address - Street 1:1875 HIGHWAY 6
Practice Address - Street 2:SUITE 800
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5097
Practice Address - Country:US
Practice Address - Phone:281-980-3937
Practice Address - Fax:281-313-0505
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5441TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1616070-02Medicaid
TX1616070-01Medicaid
TX1616054-01Medicaid
TX1981813-01Medicaid
TX1616054-01Medicaid
TX8598B9Medicare PIN
TX00Z080Medicare PIN
TXU67099Medicare UPIN
TX8F7926Medicare PIN