DR. MIKE V. WONG (O.D.) – Optometrist, NPI 1013982206

DR. MIKE V. WONG (O.D.) is a healthcare provider. based in Pasadena, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 10566T (CA). The NPI Number for DR. MIKE V. WONG (O.D.) is 1013982206

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIKE V. WONG (O.D.)
NPI
1013982206
Phone
(626) 356-8088
Address
80 N LAKE AVE
Enumeration Date
21 February 2006
Last Update Date
5 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263568088
Graduation Year
1995 (31 years ago)
PAC ID
1254310782
Group Practice PAC ID
9931188554
Professional Enrollment ID
I20040720000255
Address ID
CA911015628PA80XXXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. MIKE V. WONG (O.D.)

  • 80, North Lake Avenue, Pasadena Playhouse District, Pasadena Council District 5, Pasadena, Los Angeles County, California, 91101, United States

    SUITE 102

    PASADENA, CA 911015626

    Phone: (626) 356-8088

    Fax: (626) 356-8078

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: CooperVision Inc. ($66).

Total Amount

$165

General + Research + Ownership

Payments

7

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040720000255IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system2212$0
92014Established patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 91101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931188554View full group profile
NameSpecialtyState
O P T O M E T R YCA

Reviews

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Frequently asked questions

Can I cross-check DR. MIKE V. WONG (O.D.) using NPI 1013982206?
NPI 1013982206 belongs to DR. MIKE V. WONG (O.D.); compare other details if you need extra assurance.
Is there an active status for DR. MIKE V. WONG (O.D.)?
For scheduling context, DR. MIKE V. WONG (O.D.) is shown as active in the registry.
What area of care is associated with DR. MIKE V. WONG (O.D.)?
DR. MIKE V. WONG (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MIKE V. WONG (O.D.)?
Directory geography for DR. MIKE V. WONG (O.D.) centers on Pasadena, California.
When was this NPI issued?
Enumeration for DR. MIKE V. WONG (O.D.) is noted as February 21, 2006 where the registry provides it.

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