DR. GRACE K. WONG O.D.
NPI 1467423301
Optometrist in Pasadena, CA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
80 N LAKE AVE, #102, PASADENA, CA 91101(626) 356-8088(626) 356-8078 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Grace K. Wong O.d. NPPES

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

DR. GRACE K. WONG O.D. (NPI 1467423301) is an individual optometrist in Pasadena, California, licensed in California (10607T) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1995).

NPPES Registry Identity

NPI1467423301
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. GRACE K. WONGCredential: O.D.
Location Address80 N LAKE AVE, #102Pasadena, CA 91101-5626
Mailing Address6043 Agnes AveTemple City, CA 91780-1708 · (626) 451-6803
Fax(626) 356-8078
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1995
Enumeration DateJanuary 30, 2006
Last NPPES UpdateMay 1, 2017
NPI 1467423301 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 · 10607T
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.

80 N LAKE AVE, Pasadena, CA 91101

Other Identifiers 3

MedicaidSD0106070CA
Medicare UPINU77652CA
Medicare PINCX220ZCA

Accepted 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. Grace K. 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 ID6002942034
PECOS Enrollment IDI20100330000364
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
16 services11 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 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 3

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

Dentist (General Practice)
80 N LAKE AVE, 103
PASADENA, CA 91101
Optometrist
80 N LAKE AVE, SUITE 102
PASADENA, CA 91101
Dentist (General Practice)
80 N LAKE AVE, UNIT 103
PASADENA, CA 91101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467423301, enumerated as an "individual" on January 30, 2006.

The provider is located at 80 N LAKE AVE #102 PASADENA, CA 91101 and the phone number is (626) 356-8088.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.