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DR. CAROLYN MARIE WONG O.D.
NPI 1306971429
Optometrist in Los Angeles, CA

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
11540 SANTA MONICA BLVD, SUITE 202, LOS ANGELES, CA 90025(310) 473-5464(310) 473-2536 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carolyn Marie Wong O.d. NPPES

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

DR. CAROLYN MARIE WONG O.D. (NPI 1306971429) is an individual optometrist in Los Angeles, California, licensed in California (OP7450) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1982).

NPPES Registry Identity

NPI1306971429
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CAROLYN MARIE WONGCredential: O.D.
Location Address11540 SANTA MONICA BLVD, SUITE 202Los Angeles, CA 90025-7905
Mailing Address11540 Santa Monica Blvd, Suite 202Los Angeles, CA 90025-7905 · (310) 473-5464 · Fax (310) 473-2536
Phone(310) 473-5464
Fax(310) 473-2536
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1982
Enumeration DateFebruary 22, 2007
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1306971429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · OP7450✔ Licensed in CA · 7450T
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.
11540 SANTA MONICA BLVD, Los Angeles, CA 90025
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Other Identifiers 1

MedicaidSD0074500CA

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

Dr. Carolyn Marie Wong O.d. 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 ID7113053141
PECOS Enrollment IDI20100330000338
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services51 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
74 services53 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
35 services35 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
28 services22 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
23 services21 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 12

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

ROY KIMIA
Acupuncturist
11540 SANTA MONICA BLVD, SUITE 203
LOS ANGELES, CA 90025
Los Angeles County (310) 882-8228
KIMIA WELLNESS
Clinic/Center (Health Service)
11540 SANTA MONICA BLVD, SUITE 203
LOS ANGELES, CA 90025
Los Angeles County (310) 882-8228
PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.
Family Medicine
11540 SANTA MONICA BLVD, 201
LOS ANGELES, CA 90025
Los Angeles County (310) 428-8065
MRS. SARA DADVAND M.S, CCC-SLP
Speech-Language Pathologist
11540 SANTA MONICA BLVD, #203
LOS ANGELES, CA 90025
Los Angeles County (310) 403-2765
SARAH CHUNG O.D.
Optometrist
11540 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 473-5464
DADVAND CHIROPRACTIC INC.
Chiropractor
11540 SANTA MONICA BLVD, 203
LOS ANGELES, CA 90025
Los Angeles County (310) 444-1177
DR. CAROLYN WONG
Optometrist
11540 SANTA MONICA BLVD, SUITE 202
LOS ANGELES, CA 90025
Los Angeles County (310) 473-5464
SANG SANG DANG MEDICAL ACU. GROUP, INC.
Acupuncturist
11540 SANTA MONICA BLVD, #203
WEST LOS ANGELES, CA 90025
Los Angeles County (310) 268-0268

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 Carolyn Wong's NPI number?

The NPI number for Carolyn Wong is 1306971429. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Carolyn Wong located?

Carolyn Wong practices at 11540 Santa Monica Blvd Suite 202, Los Angeles, CA 90025. The listed phone number is (310) 473-5464.

What is Carolyn Wong's specialty?

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

Is Carolyn Wong enrolled in Medicare?

Yes. Carolyn Wong 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 Carolyn Wong 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 Carolyn Wong 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 Carolyn Wong was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.