DR. KEITH YUN KONG WONG O.D.
NPI 1336201615
Optometrist in Modesto, CA

Q: What is Keith Wong's NPI number?

The NPI number for Keith Wong is 1336201615. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Keith Wong'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 Keith Wong was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 14, 2006PECOS Enrolled

3401 DALE RD, SUITE 300, MODESTO, CA 95356(209) 574-0710(209) 529-9030 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Keith Yun Kong Wong O.d. NPPES

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

DR. KEITH YUN KONG WONG O.D. (NPI 1336201615) is an individual optometrist in Modesto, California, licensed in California (8152T) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336201615

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KEITH YUN KONG WONGCredential: O.D.

Location Address3401 DALE RD, SUITE 300Modesto, CA 95356-0505

Mailing Address1608 Lavender LnModesto, CA 95355-3771 · (209) 521-5709

Phone(209) 574-0710

Fax(209) 529-9030

Sole ProprietorYes

Enumeration DateDecember 14, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1336201615 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 · 8152T

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.

3401 DALE RD, Modesto, CA 95356

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Other Identifiers 4

MedicaidSD0081520CA

OtherCA8152CA · Eyemed

Other14062CA · Mes

Other8152TCA · State License

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Yun Kong Wong O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Fred Wm Stellhorn Optometric Corporation

11 mi

Optometrist

140 N FREMONT ST STE A
Manteca, CA 95336

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1124290721 (209) 823-3151

Tedder Optometric Corporation, PC

338 mi

Optometrist

23625 EL TORO RD STE E
Lake Forest, CA 92630

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Hansra Optometric Corporation
34 clinicians in this Medicare group

NPI 1679262158 (949) 227-2524

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 95356 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 2

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

MS. THERESA KATHRYN WILKSEN M.A.

Audiologist

3401 DALE RD
MODESTO, CA 95356

Stanislaus County (209) 527-7739

PEARLE VISIONCARE INC

Eyewear Supplier

3401 DALE RD, VINTAGE FAIRE MALL STE 303
MODESTO, CA 95356

Stanislaus County (209) 527-6843

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 Keith Wong's NPI number?

The NPI number for Keith Wong is 1336201615. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Keith Wong located?

Keith Wong practices at 3401 Dale Rd Suite 300, Modesto, CA 95356. The listed phone number is (209) 574-0710.

What is Keith Wong's specialty?

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

Is Keith Wong enrolled in Medicare?

Yes. Keith Wong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keith Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Wong reassigns Medicare benefits to 2 organizations: Fred Wm Stellhorn Optometric Corporation (Manteca, CA) and Tedder Optometric Corporation, PC (Lake Forest, 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 Keith Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Wong accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Keith 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 Keith Wong was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.