MICHAEL WANG (OD.) – Optometrist, NPI 1104820950

MICHAEL WANG (OD.) is a healthcare provider. based in Elk grove, California. specializing in OPTOMETRY. They hold the professional credentials OD.. They hold a License No. OPT10004TPA (CA). The NPI Number for MICHAEL WANG (OD.) is 1104820950

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WANG (OD.)
NPI
1104820950
Phone
(916) 686-5165
Address
9727 ELK GROVE FLORIN RD
Enumeration Date
9 June 2005
Last Update Date
17 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9166865165
Graduation Year
1992 (34 years ago)
PAC ID
7214028497
Group Practice PAC ID
4587057823
Professional Enrollment ID
I20070801000722
Address ID
CA956242267EL9727XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for MICHAEL WANG (OD.)

  • Mindy's Nail Spa, 9727, Elk Grove Florin Road, Elk Grove, Sacramento County, California, 94624, United States

    #190

    ELK GROVE, CA 956242264

    Phone: (916) 686-5165

    Fax: (916) 686-5865

    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 58 Open Payments records for all available years, with a total value of $1,946.

Total Amount is formed as General ($1,946) + Research ($0) + Ownership ($0) = $1,946.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($550).

Total Amount

$1,946

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2007-08-01

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
I20070801000722IOptometryCATBD

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 system469344$0
92134Imaging of retina10085$0
92012Established patient problem focused exam of visual system5956$0
92133Imaging of optic nerve4745$0
92083Exam of visual field with extended testing2726$0
View full utilization report →

Insurance plans in this area (ZIP 95624)

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Provider's Procedures

MICHAEL WANG (OD.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCA92134Diagnostic imaging of retina3231

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: 4587057823View full group profile
NameSpecialtyState
O P T O M E T R YCA

Reviews

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Frequently asked questions

How do I look up MICHAEL WANG (OD.) by NPI?
Use NPI 1104820950 when you need to reference MICHAEL WANG (OD.) in forms, claims, or directories.
Is MICHAEL WANG (OD.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MICHAEL WANG (OD.)'s specialty in plain language?
Clinically, the directory lists MICHAEL WANG (OD.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL WANG (OD.)?
The page summarizes Elk Grove, California for MICHAEL WANG (OD.); expand the address list for detail.
Is MICHAEL WANG (OD.) a real provider?
This page reflects official NPPES data for NPI 1104820950. Always confirm identity and privileges with the practice and licensing boards.

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