Cindy Pung Wang, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

11206T Issued in CA

Practice address

729 Mission St
Suite 200
South Pasadena, CA 91030-3069

Phone

(626) 441-5300

Fax

(626) 441-2880

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Pasadena Optometric Group IncGroup PAC ID 3072556257, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Pasadena Optometric Group, Inc.

  • Optometrist
  • South Pasadena, CA
  • NPI 1750416566
  Medicare reassignment Care Compare group
• Frederick R. Harris, O.D., Inc.

  • Optometrist
  • South Pasadena, CA
  • NPI 1114237658
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1649294174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MISSION ST",
            "address_2": "SUITE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303069",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CINDY",
        "middle_name": "PUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "11206T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "11206T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "2535",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "13818",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssia Denise Wakefield
• Jamila Shani Wallace, OD
• Andrea Lee Wang, PHARM.D.
• Bob Wang
• Charity Lynn Wang, MSW
• Qing Mei Wang
• Shiyu Wang
• Linda Kay Waters, LCSW
• John D. a.. Wayne, PH.D.
• Michaela Blakey Weaver, LCSW

• Pediatric Optometrist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Pediatric Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.