Krista Wong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33958 Issued in CA

Practice address

17430 Crenshaw Blvd Ste B
Torrance, CA 90504-3455

Phone

(310) 532-8900

NPI assigned

Jul 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Chad Takao Shimazaki, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1871587972
  Medicare reassignment
• North Torrance Optometry

  • Optometrist
  • Torrance, CA
  • NPI 1851645758
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1124504204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 CRENSHAW BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043455",
            "telephone_number": "310-532-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CRENSHAW BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043455",
            "telephone_number": "310-532-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14501 Hindry Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "90250",
            "country_code": "US",
            "telephone_number": "310-536-0327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 Pacific Coast Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056656",
            "country_code": "US",
            "telephone_number": "310-325-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "KRISTA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Yen Man Wong, M.D.
• Eric Thomas Wong, D.D.S.
• Jacob Kristofer Alba Wong
• John Wong, MD
• Johnny Wong, MD
• Lulu Lu Wong, MD
• Matthew Lot Kai Wong, M.D.
• Micheline Joelle Wong, MD
• Michelle Wong, MD
• Steven Wong, MD

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.