KATY WAN OD
NPI 1245682061
Optometrist in Corona, CA

Q: What is Katy Wan's NPI number?

The NPI number for Katy Wan is 1245682061. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Katy Wan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Katy Wan was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment

1124 S MAIN ST, SUITE 101, CORONA, CA 92882(951) 737-6363(951) 272-6723 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katy Wan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATY WAN OD (NPI 1245682061) is an individual optometrist in Corona, California, licensed in California (OPT33388TLG) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2016).

NPPES Registry Identity

NPI1245682061

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKATY WANCredential: OD

Location Address1124 S MAIN ST, SUITE 101Corona, CA 92882-4449

Mailing Address1124 S Main St, Suite 101Corona, CA 92882-4449 · (951) 737-6363 · Fax (951) 272-6723

Phone(951) 737-6363

Fax(951) 272-6723

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2016

Enumeration DateJuly 5, 2016

✔ NPI 1245682061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · OPT33388TLG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1124 S MAIN ST, Corona, CA 92882

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katy Wan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517253461

PECOS Enrollment IDI20160901001978

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92882 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOON G YUN MD, INC

Anesthesiology

1124 S MAIN ST, STE 102
CORONA, CA 92882

Riverside County (951) 284-7180

TRI-COUNTY EYE INSTITUTE INC

Ophthalmology

1124 S MAIN ST, # 101
CORONA, CA 92882

Riverside County (951) 737-6363

DR. MARK EDWARD SCHNEIDER M.D.

Ophthalmology

1124 S MAIN ST, # 101
CORONA, CA 92882

Riverside County (951) 737-6363

SCHNEIDER VISION CARE CENTER INC

Clinic/Center (Ophthalmologic Surgery)

1124 S MAIN ST, SUITE 102
CORONA, CA 92882

Riverside County (951) 737-6402

SAMANTHA SCHNEIDER JOHNSON DO

Ophthalmology

1124 S MAIN ST
CORONA, CA 92882

Riverside County (951) 737-6363

BENJAMIN ARTHUR KATZ M.D.

Ophthalmology

1124 S MAIN ST
CORONA, CA 92882

Riverside County (951) 737-6363

DR. KENNETH MARK MCKENZIE OD

Optometrist

1124 S MAIN ST, # 101
CORONA, CA 92882

Riverside County (951) 737-6363

DR. KUN HEE LIM OD

Optometrist

1124 S MAIN ST
CORONA, CA 92882

Riverside County (951) 737-6363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katy Wan's NPI number?

The NPI number for Katy Wan is 1245682061. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Katy Wan located?

Katy Wan practices at 1124 S Main St Suite 101, Corona, CA 92882. The listed phone number is (951) 737-6363.

What is Katy Wan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Katy Wan enrolled in Medicare?

Yes. Katy Wan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katy Wan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Katy Wan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katy Wan was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.