Individual provider Active NPI

Cindy Pung Wang, O.D.

  • Optometrist
  • South Pasadena, CA
National Provider Identifier
1649294174
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11206T Issued in CA
Practice address
729 Mission St Ste 200
South Pasadena, CA 91030-3072
Phone
(626) 441-5300
Fax
(626) 441-2880
NPI assigned
Jul 27, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 11206TPG CA
Low Vision Rehabilitation Optometrist 152WL0500X 11206TPG CA
Optometrist 152W00000X 11206T CA Primary

Addresses

Primary practice location

729 Mission St Ste 200
South Pasadena, CA 91030-3072

Mailing address

729 Mission St Ste 200
South Pasadena, CA 91030-3072
Phone (626) 441-5300

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
I20120323000580 CA Practitioner - Optometry 1759541089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

729 Mission St
Suite 200
South Pasadena, CA 91030-3072
Phone (626) 441-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11206TCAMDOptometrist
11206TPGCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick R. Harris, O.D., Inc. Optometrist CurrentSince Oct 11, 2010 Accepting new patients

Locations

1941 Huntington Dr
Ste F
South Pasadena, CA 91030
Phone (626) 799-2212

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, 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "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 STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "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": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11206TPG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "11206TPG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11206T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.