DR. KATHLEEN R WONG O.D.
NPI 1962503227
Optometrist in Edmonds, WA
About Dr. Kathleen R Wong O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN R WONG O.D. (NPI 1962503227) is an individual optometrist in Edmonds, Washington, licensed in Washington (3268) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1996).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Dr. Kathleen R Wong 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edmonds, WA 98020
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Edmonds Vision Center, P.S., Inc.
- 2 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98020 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Wong's NPI number?
The NPI number for Kathleen Wong is 1962503227. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Dr. Kathleen R Solum O.D..
Where is Kathleen Wong located?
Kathleen Wong practices at 402 Main St, Edmonds, WA 98020. The listed phone number is (425) 771-7772.
What is Kathleen Wong's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kathleen Wong enrolled in Medicare?
Yes. Kathleen 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 organization bills Medicare for Kathleen Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Wong reassigns Medicare benefits to Edmonds Vision Center Ps Inc (Edmonds, WA). The 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 Kathleen Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Wong accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kathleen 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 Kathleen Wong was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Kathleen R Wong, O.D. · NPI 1962503227
Optometrist provider in Edmonds, Washington. Individual provider, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1962503227 (Entity type: Individual)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3268 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 402 MAIN ST, Edmonds, WA 98020-3138
- **Phone:** (425) 771-7772 · **Fax:** (425) 775-9973
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Edmonds Vision Center Ps Inc (NPI 1437225430, Edmonds, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 1996
## Record status
- **NPPES last updated:** April 17, 2018
- **Other identifiers:** Medicaid 2024537 (WA); Other 0149513 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1962503227) · Data from the CMS NPPES public registry.