Individual provider Active NPI

Keye L Wong, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
National Provider Identifier
1164468211
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME56535 Issued in FL
Practice address
2601 Cattlemen Rd Ste 102
Sarasota, FL 34232-6282
Phone
(941) 924-0303
Fax
(941) 924-0309
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME56535 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME56535 FL Primary

Addresses

Primary practice location

2601 Cattlemen Rd Ste 102
Sarasota, FL 34232-6282

Mailing address

2601 Cattlemen Rd Ste 102
Sarasota, FL 34232-6282
Phone (941) 924-0303

Other identifiers 1

IdentifierTypeStateIssuer
062311300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000172 FL Practitioner - Ophthalmology 0941383723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

1509 53Rd Ave W
Bradenton, FL 34207-2866
Phone (941) 924-0303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56535FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Ophthalmology CurrentSince May 1, 2021 Accepting new patients
Sarasota Retina Institute P a Ophthalmology Past Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

1509 53rd Ave W
Bradenton, FL 34207
Phone (941) 753-0220

3920 Bee Ridge Rd
Bldg D
Sarasota, FL 34233
Phone (941) 374-4491

2601 Cattlemen Rd
Ste 102
Sarasota, FL 34232
Phone (941) 363-4590

1370 E Venice Ave
Ste 201
Venice, FL 34285
Phone (941) 480-0500

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1164468211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CATTLEMEN RD STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326282",
            "telephone_number": "941-924-0303",
            "fax_number": "941-924-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CATTLEMEN RD STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326282",
            "telephone_number": "941-924-0303",
            "fax_number": "941-924-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KEYE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME56535",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME56535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062311300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.