Mike V Wong OD a Professional Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

10566T Issued in CA

Legal business name

MIKE V WONG OD A PROFESSIONAL CORP

Doing business as

Pasadena Eyecare Optometry

Practice address

80 N Lake Ave
Suite 102
Pasadena, CA 91101-5626

Phone

(626) 356-8088

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mike V Wong, ODNPI 1013982206

Title

President

Phone

(626) 356-8088

Specialties & licenses 1

Addresses

Other names 1

• Pasadena Eyecare Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Mike V. Wong, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1013982206
  Medicare reassignment Care Compare group Authorized official
• Grace K. Wong, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1467423301
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1760403430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N LAKE AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015628",
            "telephone_number": "626-356-8088",
            "fax_number": "626-356-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N LAKE AVE",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015626",
            "telephone_number": "626-356-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE V WONG OD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-356-8088",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10566T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Eyecare Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Mikael, PSY.D.
• Emin Mikaelian, OD
• Nayiri Abnous Mikaelian, OD
• Sheila Mikail, LMFT
• Julie Mikashus, PSY.D.
• Rob B Mikels, ATC
• Mikhail Blinchik MD Inc
• Asbasia Aboelkhair Mikhail, M.D.
• Thomas Alan Miklusak, MD PHD
• Patricia Mary Mikulan, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.