1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Optometrist
  6. NPI Profile

DIANNE LEE WONG O.D.
NPI 1750384061
Optometrist in San Rafael, CA

Active since May 31, 2005PECOS Enrolled
901 E ST, STE 285, SAN RAFAEL, CA 94901(415) 454-5565(415) 454-2957 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dianne Lee Wong O.d. NPPES

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

DIANNE LEE WONG O.D. (NPI 1750384061) is an individual optometrist in San Rafael, California, licensed in California (11780) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750384061
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDIANNE LEE WONGCredential: O.D.
Location Address901 E ST, STE 285San Rafael, CA 94901-2850
Mailing Address901 E St, Ste 285San Rafael, CA 94901-2850 · (415) 454-5565 · Fax (415) 454-2957
Phone(415) 454-5565
Fax(415) 454-2957
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1750384061 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 · 11780
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.
901 E ST, San Rafael, CA 94901
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0015750CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dianne Lee 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 94901 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

STEVEN VERMILLION M.D.
Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Marin County (415) 454-5565
DR. MARGARET HARRINGTON M.D.
Anesthesiology
901 E ST, 270
SAN RAFAEL, CA 94901
Marin County (415) 460-9926
JOHN C SHIN M.D.
Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Marin County (415) 454-5565
CHRISTIAN K KIM MD
Ophthalmology
901 E ST, SUITE 285
SAN RAFAEL, CA 94901
Marin County (145) 454-5565
TANAZ MOHAMMADI O.D.
Optometrist
901 E ST, SUITE 285
SAN RAFAEL, CA 94901
Marin County (415) 454-5586
MARIN OPHTHALMIC CONSULTANTS, A MEDICAL CORPORATION
Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Marin County (415) 454-5565
JOHN R CAMPBELL M.D.
Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Marin County (415) 454-5565
NAT JAY FINKEL O.D.
Optometrist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Marin County (415) 454-5565

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 Dianne Wong's NPI number?

The NPI number for Dianne Wong is 1750384061. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Dianne Wong located?

Dianne Wong practices at 901 E St Ste 285, San Rafael, CA 94901. The listed phone number is (415) 454-5565.

What is Dianne Wong's specialty?

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

Is Dianne Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dianne Wong was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.