KEITH MICHAEL WONG OD
NPI 1568950657
Optometrist in Fountain Valley, CA
About Keith Michael Wong Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH MICHAEL WONG OD (NPI 1568950657) is an individual optometrist in Fountain Valley, California, licensed in California (34715) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dedham, and is a graduate of New England College Of Optometry (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Keith Michael Wong 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.
Medicare Billing Reassignments
19Medicare enrollment records show Keith Wong reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Forest, CA 92630
- Reassigned Medicare billing, California enrollment
- 67 clinicians in this Medicare group
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
Imperial Beach, CA 91932
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Susanville, CA 96130
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
El Paso, TX 79915
- Reassigned Medicare billing, Texas enrollment
- 40 clinicians in this Medicare group
Amarillo, TX 79119
- Reassigned Medicare billing, Texas enrollment
- 396 clinicians in this Medicare group
Ballinger, TX 76821
- Reassigned Medicare billing, Texas enrollment
- 33 clinicians in this Medicare group
Early, TX 76802
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Brownwood Optometrists PC
- 54 clinicians in this Medicare group
Kerrville, TX 78028
- Reassigned Medicare billing, Texas enrollment
- 404 clinicians in this Medicare group
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 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FOUNTAIN VALLEY, CA 92708
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 1568950657. It was assigned to this individual provider in the NPPES registry on April 25, 2018.
Where is Keith Wong located?
Keith Wong practices at 18120 Brookhurst St Ste 19, Fountain Valley, CA 92708. The listed phone number is (949) 208-9009.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 19 organizations: Fifth Optometric Care Of California (Lake Forest, CA), Total Vision PC (San Diego, CA), Imperial Beach Community Clinic (Imperial Beach, CA), Eyemd On Cass A Professional Corporation (Monterey, CA), Troy Humphreys Od Faao, Professional Corporation (Susanville, CA) and 14 more organizations, listed in the Medicare section above. 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 Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers 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 December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Keith Michael Wong, OD · NPI 1568950657
Optometrist provider in Fountain Valley, California. Individual provider, active in the CMS NPPES registry since April 25, 2018.
## Identity
- **NPI:** 1568950657 (Entity type: Individual)
- **Enumerated:** April 25, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34715 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18120 BROOKHURST ST, STE 19, Fountain Valley, CA 92708-6727
- **Phone:** (949) 208-9009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 19 organizations under Medicare reassignment (form CMS-855R): Fifth Optometric Care Of California (NPI 1275319451, Lake Forest, CA); Total Vision PC (NPI 1356813711, San Diego, CA); Imperial Beach Community Clinic (NPI 1790718351, Imperial Beach, CA); Eyemd On Cass A Professional Corporation (NPI 1205095742, Monterey, CA); Troy Humphreys Od Faao, Professional Corporation (NPI 1326660960, Susanville, CA); and 14 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2018
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568950657) · Data from the CMS NPPES public registry.