Individual provider Active NPI

Melissa Susan Wong

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1700543196
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35866 Issued in CA
Practice address
500 S Atlantic Blvd Ste a
Monterey Park, CA 91754-3872
Phone
(626) 570-8800
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 35866 CA
Optometrist 152W00000X 35866 CA Primary

Addresses

Primary practice location

500 S Atlantic Blvd Ste a
Monterey Park, CA 91754-3872

Mailing address

8540 Ravendale Rd
San Gabriel, CA 91775-1122

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
I20250131002685 CA Practitioner - Optometry 4183153307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35866CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa S. Wong, OD, Inc Vision Therapy CurrentSince Dec 28, 2025 Accepting new patients
Seek Vision Optometry Optometrist CurrentSince Jan 27, 2025 Accepting new patients
The Optometry Center for Vision Therapy Corp Optometrist PastSince Nov 1, 2021 Accepting new patients

Locations

500 S Atlantic Blvd
Ste A
Monterey Park, CA 91754
Phone (626) 537-9987

Organizations & group practices 3

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": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1700543196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 RAVENDALE RD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ATLANTIC BLVD STE A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543872",
            "telephone_number": "626-570-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MELISSA",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "35866",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.