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KATY WAN OD
NPI 1245682061
Optometrist in Corona, CA

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: October 18, 2026.

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katy Wan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Ardaya & Lin Optometry Inc
30 mi
Optometrist
11245 WASHINGTON BLVD
Whittier, CA 90606
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1962764340 (562) 692-1208
Clinicas Del Camino Real, Inc
71 mi
Federally Qualified Health Center (FQHC)
4370 EVE RD
Simi Valley, CA 93063
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
NPI 1609291996 (805) 915-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8

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
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
CORONA OUTPATIENT SURGICENTER, LLC
Clinic/Center (Ambulatory Surgical)
1124 S MAIN ST, # 101
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.

Which organizations bill Medicare for Katy Wan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katy Wan reassigns Medicare benefits to 2 organizations: Golden Ardaya & Lin Optometry Inc (Whittier, CA) and Clinicas Del Camino Real, Inc (Simi Valley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katy Wan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katy Wan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers 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.