MICHELLE WONG (O.D.) – Optometrist, NPI 1104130061

MICHELLE WONG (O.D.) is a healthcare provider. based in Houston, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7619T (TX). The NPI Number for MICHELLE WONG (O.D.) is 1104130061

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE WONG (O.D.)
NPI
1104130061
Phone
(713) 743-2020
Address
505 J. DAVIS ARMISTEAD BLDG
Enumeration Date
3 August 2010
Last Update Date
3 August 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2813105040
Graduation Year
2010 (16 years ago)
PAC ID
0840315958
Group Practice PAC ID
1052383213
Professional Enrollment ID
I20100913001111
Address ID
TX770792649HO255XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for MICHELLE WONG (O.D.)

  • 505 J. DAVIS ARMISTEAD BLDG

    HOUSTON, TX 772042020

    Phone: (713) 743-2020

    Fax: (713) 743-0963

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-13

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
I20100913001111IOptometryTXTBD

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 77204)

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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: 1052383213View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Internal Medicine, Emergency MedicineTX
Physical Therapist In Private PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

Can I verify MICHELLE WONG (O.D.) with an NPI only?
You can start verification with NPI 1104130061 for MICHELLE WONG (O.D.), then check state licensing separately.
Does CMS list MICHELLE WONG (O.D.) as active?
Yes — MICHELLE WONG (O.D.) is active in the NPI listing used on this page.
What is MICHELLE WONG (O.D.)'s specialty?
The listing groups MICHELLE WONG (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is MICHELLE WONG (O.D.) based?
MICHELLE WONG (O.D.) is tied to Houston, Texas in the data we show; additional addresses may exist on the full record.
Is the information about MICHELLE WONG (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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