Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336201615 Individual Practitioner Male Practitioner

Dr. Keith Yun Kong Wong , OD

Optometrist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Wong, OD is a registered healthcare professional specializing in Optometrist in Modesto, CA. Practice services are available at 3401 DALE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3401 Dale Rd
Suite 300

Modesto, CA 953560505

Telephone 2095740710
Fax 2095299030
Associated Practice Facility / Clinic
🏢 Pearle Visioncare Inc Facility NPI 1760547756

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Modesto, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 8152T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD0081520 (CA)
Commercial Insurance / Payer ID Eyemed
CA8152 (CA)
Commercial Insurance / Payer ID Mes
14062 (CA)
Commercial Insurance / Payer ID State License
8152T (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1447374608

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2015

Registered at 3401 DALE RD, SUITE 300, MODESTO, CA 953560505 (Tel: 2095740710)

📍
Updated Business Mailing Address October 20, 2015

Registered at 1608 LAVENDER LN, MODESTO, CA 953553771 (Tel: 2095215709)

👤
Provider Name / Credentials Updated October 20, 2015

Recorded as KEITH WONG, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2015

Optometrist (License #8152T in CA)

🟢
Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336201615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

1608 Lavender Ln

Modesto, CA 953553771

Phone: 2095215709

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.