Keith Michael Wong, OD in Fountain Valley, CA - Medicare Optometrist Provider

Keith Michael Wong, OD is a medicare enrolled "Optometrist" provider in Fountain Valley, California. His current practice location is 18120 Brookhurst St, Ste 19, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (949) 208-9009.

Keith Michael Wong is licensed to practice in California (license number 34715) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568950657.

Contact Information

	Keith Michael Wong, OD
	18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727
	(949) 208-9009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Michael Wong
Gender	Male
Speciality	Optometrist
Location	18120 Brookhurst St, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568950657
Provider Enumeration Date: 04/25/2018
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8426306952
Enrollment ID: I20180731002861

Medical Identifiers

Medical identifiers for Keith Michael Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568950657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5295 (Massachusetts)	Secondary
152W00000X	Optometrist	11124T (Texas)	Secondary
152W00000X	Optometrist	34715 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Michael Wong allows following entities to bill medicare on his behalf.

Provider Name	Myeyedr Optometry Of Massachusetts P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124534946 PECOS PAC ID: 1951661297 Enrollment ID: O20180207001047

Provider Name	Foley Vision Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063908960 PECOS PAC ID: 0446502470 Enrollment ID: O20181002003201

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Michael Wong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Michael Wong, OD 18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727 Ph: (714) 508-4975	Keith Michael Wong, OD 18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727 Ph: (949) 208-9009

Reviews and Comments

Optometrist in Fountain Valley, CA

Sako And Kame Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 18449 Brookhurst St Ste 6, Fountain Valley, CA 92708 Phone: 714-963-2111
Dr. Barbara B. Fineberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18449 Brookhurst St, Suite 6, Fountain Valley, CA 92708 Phone: 714-963-2111 Fax: 714-963-4246
Firssight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17099 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-965-1070
Dr. Dan B. Carver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave Ste 261, Fountain Valley, CA 92708 Phone: 714-263-0800 Fax: 714-263-2336
Dr. Gordon Kiyoshi Ota, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10130 Warner Ave, Suite J, Fountain Valley, CA 92708 Phone: 714-965-5130
Seiju E. Terada, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10130 Warner Ave Ste J, Fountain Valley, CA 92708 Phone: 714-965-5130 Fax: 714-965-8265
Optometrist Medicare: Medicare Enrolled Practice Location: 16125 Harbor Blvd, Fountain Valley, CA 92708 Phone: 714-531-9900 Fax: 714-531-0236

Keith Michael Wong, OD - Medicare Optometrist in Fountain Valley, CA