Individual provider Active NPI

Wendy Kim Duncan, OD

  • Optometrist
  • Fontana, CA
National Provider Identifier
1538152145
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7522T Issued in CA
Practice address
8190 Mango Ave
Fontana, CA 92335-3610
Phone
(909) 350-2020
Fax
(909) 350-2341
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7522T CA Primary

Addresses

Primary practice location

8190 Mango Ave
Fontana, CA 92335-3610

Mailing address

8190 Mango Ave
Fontana, CA 92335-3610
Phone (909) 350-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0075220MedicaidCA

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
I20040324001777 CA Practitioner - Optometry 1355233552 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Fontana, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cathy Nguyen OD a Professional Optometric CorporationGroup PAC ID 3274981188, 2 clinicians

Practice addresses (Care Compare)

8190 Mango Ave
Fontana, CA 92335-3610
Phone (909) 350-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7522TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cathy Nguyen, O.D., a Professional Optometric Corporation Optometrist CurrentSince Mar 2, 2025 Accepting new patients

Locations

8190 Mango Ave
Fontana, CA 92335
Phone (909) 350-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1538152145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 MANGO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353610",
            "telephone_number": "909-350-2020",
            "fax_number": "909-350-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 MANGO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353610",
            "telephone_number": "909-350-2020",
            "fax_number": "909-350-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "WENDY",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7522T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0075220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.