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DR. CLINTON KING WONG O.D.
NPI 1619003944
Optometrist in Moreno Valley, CA

Active since February 23, 2007PECOS Enrolled
12810 HEACOCK ST, SUITE B104, MORENO VALLEY, CA 92553(951) 924-2020(951) 924-7136 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clinton King Wong O.d. NPPES

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

DR. CLINTON KING WONG O.D. (NPI 1619003944) is an individual optometrist in Moreno Valley, California, licensed in California (7725T) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619003944
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CLINTON KING WONGCredential: O.D.
Location Address12810 HEACOCK ST, SUITE B104Moreno Valley, CA 92553-2854
Mailing Address12810 Heacock St, Suite B104Moreno Valley, CA 92553-2854 · (951) 924-2020 · Fax (951) 924-7136
Phone(951) 924-2020
Fax(951) 924-7136
Sole ProprietorYes
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619003944 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 · 7725T
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.
12810 HEACOCK ST, Moreno Valley, CA 92553
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Other Identifiers 3

Medicare UPINT10585CA
MedicaidSD0077250CA
Medicare ID-Type UnspecifiedSD0077250CA

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, BlueCross BlueShield of Tennessee 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 (PECOS)

Dr. Clinton King 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92553 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 10

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

ROBERT THOMAS SILVOLA DDS
Dentist (General Practice)
12810 HEACOCK ST, STE B103
MORENO VALLEY, CA 92553
Riverside County (951) 242-3441
DR. GEORGE A PONCE SR. M.D.
Internal Medicine (Cardiovascular Disease)
12810 HEACOCK ST, SUITE B201
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
DR. ARMANDO L. FRANCO M.D.
Family Medicine
12810 HEACOCK ST, SUITE B-206
MORENO VALLEY, CA 92553
Riverside County (951) 485-5155
CHRISTOPHER ADAM GODINA
Marriage & Family Therapist
12810 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 247-6542
CARDIOVASCULAR CONSULTANTS OF THE INLAND VALLEY
Internal Medicine (Cardiovascular Disease)
12810 HEACOCK ST, SUITE B201
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
MS. ANNA MARIA WILSON MSN, ACNP
Nurse Practitioner (Acute Care)
12810 HEACOCK ST, SUITE B201
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
SPECTRUM CLINICAL RESEARCH INSTITUTE INC
Specialist (Research Study)
12810 HEACOCK ST, SUITE B210
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
MR. ROBERT RAY WITTY PA-C
Physician Assistant
12810 HEACOCK ST, SUITE B-206
MORENO VALLEY, CA 92553
Riverside County (951) 485-5155

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 Clinton Wong's NPI number?

The NPI number for Clinton Wong is 1619003944. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Clinton Wong located?

Clinton Wong practices at 12810 Heacock St Suite B104, Moreno Valley, CA 92553. The listed phone number is (951) 924-2020.

What is Clinton Wong's specialty?

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

Is Clinton Wong enrolled in Medicare?

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

What insurance does Clinton Wong accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Providence Health Plan list Clinton 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 Clinton Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.