Individual provider Active NPI

Karen Young Wong, O.D.

  • Optometrist
  • Rowland Heights, CA
National Provider Identifier
1801087036
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13352 Issued in CA
Practice address
1015 Nogales St Ste 109
Rowland Heights, CA 91748-1309
Phone
(626) 965-8698
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 13352 CA Primary

Addresses

Primary practice location

1015 Nogales St Ste 109
Rowland Heights, CA 91748-1309

Mailing address

23769 Sunset Crossing Rd
Diamond Bar, CA 91765-1351
Phone (909) 895-7088

Other names 1

  • Dr. Karen Ganin Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 13352CAMDOptometrist
13352CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1801087036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23769 SUNSET CROSSING RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651351",
            "telephone_number": "909-895-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NOGALES ST STE 109",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481309",
            "telephone_number": "626-965-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KAREN",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "YOUNG",
            "middle_name": "GANIN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.