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BETHANY WONG OD
NPI 1598236531
Optometrist in Mesa, AZ

Active since December 17, 2018Opted out of Medicare · through Mar 30, 2028
1365 S ALMA SCHOOL RD, MESA, AZ 85210(480) 615-9852 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bethany Wong Od NPPES

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

BETHANY WONG OD (NPI 1598236531) is an individual optometrist in Mesa, Arizona, licensed in Arizona (OPT-2319) and active in the NPI registry since December 2018. She has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598236531
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBETHANY WONGCredential: OD
Location Address1365 S ALMA SCHOOL RDMesa, AZ 85210-2085
Mailing Address101 W 5th St Apt 2041Tempe, AZ 85281-0205
Phone(480) 615-9852
Sole ProprietorNo
Enumeration DateDecember 17, 2018
✔ NPI 1598236531 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 AZ · OPT-2319
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.
1365 S ALMA SCHOOL RD, Mesa, AZ 85210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bethany Wong Od has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 30, 2022 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2022
Opt-Out In Effect ThroughMarch 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

DR. SEPIDEH SALEKI OD
Optometrist
1365 S ALMA SCHOOL RD
MESA, AZ 85210
Maricopa County (480) 615-9852

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 Bethany Wong's NPI number?

The NPI number for Bethany Wong is 1598236531. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Bethany Wong located?

Bethany Wong practices at 1365 S Alma School Rd, Mesa, AZ 85210. The listed phone number is (480) 615-9852.

What is Bethany Wong's specialty?

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

Is Bethany Wong enrolled in Medicare?

No. Bethany Wong has opted out of Medicare through March 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bethany Wong was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.