DR. EVELYN WANG (O.D.) – Optometrist, NPI 1114203510

DR. EVELYN WANG (O.D.) is a healthcare provider. based in Whittier, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 15029TLG (CA). The NPI Number for DR. EVELYN WANG (O.D.) is 1114203510

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVELYN WANG (O.D.)
NPI
1114203510
Phone
(562) 696-1883
Address
8522 PAINTER AVE
Enumeration Date
29 October 2011
Last Update Date
21 May 2019

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
5626961883
Graduation Year
2014 (12 years ago)
PAC ID
7113250630
Group Practice PAC ID
1153406392
Professional Enrollment ID
I20190614000570
Address ID
CA906021727WH13311STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. EVELYN WANG (O.D.)

  • 8522 PAINTER AVE

    WHITTIER, CA 906023335

    Phone: (562) 696-1883

    Type: Mailing

  • 338 S DAKOTA AVE

    VANDENBERG AFB, CA 934376307

    Phone: (805) 606-7962

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $693.

Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($532).

Total Amount

$693

General + Research + Ownership

Payments

11

Total payment records

General Amount

$693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2019-06-14

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
I20190614000570IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90602)

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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: 1153406392View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Can I verify DR. EVELYN WANG (O.D.) with an NPI only?
You can start verification with NPI 1114203510 for DR. EVELYN WANG (O.D.), then check state licensing separately.
Is DR. EVELYN WANG (O.D.) still practicing?
DR. EVELYN WANG (O.D.) is currently listed as active in the public NPI registry.
What is DR. EVELYN WANG (O.D.)'s specialty?
The listing groups DR. EVELYN WANG (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. EVELYN WANG (O.D.) list a practice location?
Patients near Whittier, California may find DR. EVELYN WANG (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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