AMY MONGYUN WEN (OD) – Optometrist, NPI 1588280218

AMY MONGYUN WEN (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011447 (IL). The NPI Number for AMY MONGYUN WEN (OD) is 1588280218

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
AMY MONGYUN WEN (OD)
NPI
1588280218
Phone
Not provided
Address
2136 W MONROE ST APT 301
Enumeration Date
18 June 2020
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7084796232
Graduation Year
2020 (6 years ago)
PAC ID
1153746854
Group Practice PAC ID
8628165750
Professional Enrollment ID
I20200728003461
Address ID
IL604489318MO9612XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for AMY MONGYUN WEN (OD)

  • 2136 W MONROE ST APT 301

    CHICAGO, IL 606123184

    Phone:

    Type: Mailing

  • 7519 175TH ST APT 2W

    TINLEY PARK, IL 604776929

    Phone:

    Type: Mailing

  • 2349 S WENTWORTH AVE

    CHICAGO, IL 606160110

    Phone: (312) 808-1893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: CooperVision Inc. ($189).

Total Amount

$189

General + Research + Ownership

Payments

3

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$189
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: 2020-07-28

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
I20200728003461IOptometryILTBD

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 60612)

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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: 8628165750View full group profile
NameSpecialtyState
-IL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What number should I use to identify AMY MONGYUN WEN (OD) for billing?
Administrative and clinical systems typically use NPI 1588280218 for AMY MONGYUN WEN (OD).
Does the public listing show AMY MONGYUN WEN (OD) as active?
AMY MONGYUN WEN (OD)'s NPI record reflects an active status in NPPES.
How should patients interpret AMY MONGYUN WEN (OD)'s specialty?
The extract shows Optometrist for AMY MONGYUN WEN (OD). Clinical services aligned with this taxonomy classification.
Which community is linked to AMY MONGYUN WEN (OD)?
AMY MONGYUN WEN (OD) shows a connection to Chicago, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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