DR. CAROLYN M DUONG (OD) – Optometrist, NPI 1073878096

DR. CAROLYN M DUONG (OD) is a healthcare provider. based in Los angeles, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 14422 (CA). The NPI Number for DR. CAROLYN M DUONG (OD) is 1073878096

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN M DUONG (OD)
NPI
1073878096
Phone
(310) 825-5000
Address
300 Stein Plz
Enumeration Date
5 July 2012
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
7144568068
Graduation Year
2012 (14 years ago)
PAC ID
8224285622
Group Practice PAC ID
9830094275
Professional Enrollment ID
I20150129002159
Address ID
CA928683201OR101XXSXXX500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

Provider Addresses for DR. CAROLYN M DUONG (OD)

  • 300 Stein Plz

    University of California Los Angeles

    Los Angeles, CA 900950001

    Phone: (310) 825-5000

    Fax: (310) 825-6919

    Type: Location

  • 300 STEIN PLZ

    UCLA

    LOS ANGELES, CA 900957002

    Phone: (310) 206-9951

    Fax: (310) 825-6919

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: RxSight Inc ($163).

Total Amount

$235

General + Research + Ownership

Payments

4

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-01-29

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
I20150129002159IOptometryCATBD

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
92014Established patient complete exam of visual system181168$0
92134Imaging of retina140128$0
99213Established patient office or other outpatient visit, 20-29 minutes8976$0
92133Imaging of optic nerve4141$0
92136Measurement of corneal curvature and depth of eye3227$0
View full utilization report →

Insurance plans in this area (ZIP 90095)

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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: 9830094275View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YCA
Occupational Therapist In Private PracticeCA
N E U R O L O G YCA
Ophthalmology, NeurologyCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

How do payers reference DR. CAROLYN M DUONG (OD)?
For DR. CAROLYN M DUONG (OD), use NPI 1073878096 as the unique 10-digit identifier.
Would DR. CAROLYN M DUONG (OD) appear as active to a payer?
You can treat DR. CAROLYN M DUONG (OD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CAROLYN M DUONG (OD)?
DR. CAROLYN M DUONG (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. CAROLYN M DUONG (OD) located near Los Angeles?
DR. CAROLYN M DUONG (OD) currently maps to Los Angeles, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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