DR. DIANA WONG (OD) – Optometrist, NPI 1972062289

DR. DIANA WONG (OD) is a healthcare provider. based in Lafayette, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.0003459 (CO). The NPI Number for DR. DIANA WONG (OD) is 1972062289

Main info

Female
Sole Proprietor
13 Years Of Experience
Name
DR. DIANA WONG (OD)
NPI
1972062289
Phone
Not provided
Address
665 VIRIDIAN DR APT 381
Enumeration Date
16 March 2019
Last Update Date
16 March 2019

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3034502020
Graduation Year
2013 (13 years ago)
PAC ID
3779826318
Group Practice PAC ID
8123152113
Professional Enrollment ID
I20190522000852
Address ID
CO806027051TH13695BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for DR. DIANA WONG (OD)

  • 665 VIRIDIAN DR APT 381

    LAFAYETTE, CO 800267070

    Phone:

    Type: Mailing

  • Urban Eyes Vision Care, 3459, West 32nd Avenue, West Highland, Denver, Denver County, Colorado, 80211, United States

    DENVER, CO 802113103

    Phone: (303) 433-5820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($28).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

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: 2019-05-22

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
I20190522000852IOptometryCOTBD

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 80026)

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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: 8123152113View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCA
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

What federal number belongs to DR. DIANA WONG (OD)?
The federal identifier for DR. DIANA WONG (OD) is NPI 1972062289.
Is DR. DIANA WONG (OD)'s NPI currently valid?
The extract we use shows DR. DIANA WONG (OD) as active.
What does DR. DIANA WONG (OD) treat or focus on?
Patients typically see DR. DIANA WONG (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. DIANA WONG (OD)'s primary listing?
We display Lafayette, Colorado because that is what the record indicates for DR. DIANA WONG (OD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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