Individual provider Active NPI

Bonnie Chow Peng, OD

  • Optometrist
  • Monrovia, CA
National Provider Identifier
1114968245
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11943T Issued in CA
Practice address
855 W Foothill Blvd
Monrovia, CA 91016-1938
Phone
(626) 358-1080
Fax
(626) 305-9150
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11943T CA Primary

Addresses

Primary practice location

855 W Foothill Blvd
Monrovia, CA 91016-1938

Mailing address

855 W Foothill Blvd
Monrovia, CA 91016-1938
Phone (626) 358-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000261 CA Practitioner - Optometry 3072670181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Huntington Optometric CenterGroup PAC ID 7911237375, 6 clinicians
Glendale Optometric CenterGroup PAC ID 2365532561, 5 clinicians

Practice addresses (Care Compare)

100 E Huntington Dr
Suite 102
Alhambra, CA 91801-1022
Phone (626) 281-1399

308 E Broadway
Glendale, CA 91205-1011
Phone (818) 243-1300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11943TCAMDOptometrist
11943CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Optometric Center Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Glendale Optometric Center Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Duane Decroupet OD a PC Optometrist Past Accepting new patients

Locations

100 E Huntington Dr
Ste 102
Alhambra, CA 91801
Phone (626) 281-1399

308 E Broadway
Glendale, CA 91205
Phone (818) 243-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114968245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W FOOTHILL BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161938",
            "telephone_number": "626-358-1080",
            "fax_number": "626-305-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W FOOTHILL BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161938",
            "telephone_number": "626-358-1080",
            "fax_number": "626-305-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "BONNIE",
        "middle_name": "CHOW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11943T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.