1. Home
  2. Directory
  3. New Mexico
  4. Crownpoint
  5. Optometrist
  6. NPI Profile

KAREN MAI LINH TONG O.D.
NPI 1629325212
Optometrist in Crownpoint, NM

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment
HIGHWAY JUNCTION 57, ROUTE 9, CROWNPOINT, NM 87313(505) 786-6249(505) 786-6440 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Mai Linh Tong O.d. NPPES

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

KAREN MAI LINH TONG O.D. (NPI 1629325212) is an individual optometrist in Crownpoint, New Mexico, licensed in Colorado (2917) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629325212
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAREN MAI LINH TONGCredential: O.D.
Location AddressHIGHWAY JUNCTION 57, ROUTE 9Crownpoint, NM 87313
Mailing AddressPo Box 2073Crownpoint, NM 87313-2073
Phone(505) 786-6249
Fax(505) 786-6440
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 14, 2012
✔ NPI 1629325212 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 CO · 2917
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.
HIGHWAY JUNCTION 57, ROUTE 9, Crownpoint, NM 87313
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

Karen Mai Linh Tong 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 ID3779731526
PECOS Enrollment IDI20250213001763
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 87313 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

DR. ROGER WILLIAM STUDD OD, MPH
Optometrist
HIGHWAY JUNCTION 57, ROUTE 9
CROWNPOINT, NM 87313
McKinley County (505) 786-5291
DR. NAZRET GAIM WELDEGHIORGIS O.D.
Optometrist
HIGHWAY JUNCTION 57, ROUTE 9
CROWNPOINT, NM 87313
McKinley County (505) 786-5291
TIFFANI JACKSON OD
Optometrist
HIGHWAY JUNCTION 57, ROUTE 9
CROWNPOINT, NM 87313
McKinley County (505) 786-2593

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 Karen Tong's NPI number?

The NPI number for Karen Tong is 1629325212. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Karen Tong located?

Karen Tong practices at Highway Junction 57, Route 9, Crownpoint, NM 87313. The listed phone number is (505) 786-6249.

What is Karen Tong's specialty?

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

Is Karen Tong enrolled in Medicare?

Yes. Karen Tong 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.

What insurance does Karen Tong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Karen Tong 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 Karen Tong was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.