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Mike V Wong Od A Professional Corp

NPI 1760403430ActiveOrganization· Optometrist· Pasadena, CA

Optometrist in Pasadena, California, registered in NPPES in July 2006. The authorized official on file is Mike V. Wong, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1760403430
StatusActive
Entity typeOrganization
NPI issuedJul 21, 2006
Last updated in NPPESApr 10, 2026
Certified by providerApr 10, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X10566TCA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

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