| Randall Keith Wong, OD | |
|
26701 Crown Valley Pkwy, Mission Viejo, CA 92691 | |
| (949) 582-5009 | |
| (949) 582-2862 |
| Full Name | Randall Keith Wong |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 40 Years |
| Location | 26701 Crown Valley Pkwy, Mission Viejo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033205828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT8354TPL (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Eye Medical Group A Professional Corporation | 1052357803 | 6 |
| Provider Name | Advanced Eye Medical Group A Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003968017 PECOS PAC ID: 1052357803 Enrollment ID: O20050630001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Keith Wong, OD 26701 Crown Valley Pkwy, Mission Viejo, CA 92691 Ph: (949) 582-5009 | Randall Keith Wong, OD 26701 Crown Valley Pkwy, Mission Viejo, CA 92691 Ph: (949) 582-5009 |
Diana Mihaela Ciobanu, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 602 The Shops At Mission Viejo, Mission Viejo, CA 92691 Phone: 949-582-2020 Fax: 949-364-1837 | |
Chinyere Juliet Udonsi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30 The Shops At Mission Viejo, Mission Viejo, CA 92691 Phone: 949-364-4010 Fax: 949-364-4001 | |
Dr. Carolina Keyjung Lee, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27785 Santa Margarita Pkwy Ste 200, Mission Viejo, CA 92691 Phone: 949-670-0199 | |
Dr. Robert Charles Tarr, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25982 Pala, Ste 270, Mission Viejo, CA 92691 Phone: 949-770-5514 Fax: 949-770-5471 | |
Aykanush Sungulyan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 Shops At Mission Viejo, Ste 30 Shops At Mission Viejo, Mission Viejo, CA 92691 Phone: 949-364-4010 Fax: 949-364-4001 | |
Vincent Cano, Od, A Prof Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25800 Jeronimo Rd Ste 701, Mission Viejo, CA 92691 Phone: 559-859-8856 |