Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Michael Wong, OD

Individual provider Optometrist · NPI 1568950657

Keith Michael Wong, OD is an Optometry in Fountain Valley, California. Graduated from New England College of Optometry in 2018, 8 years ago. Practices with Total Vision PC, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Idaho, Massachusetts and Montana and 2 more.

Years since qualifying
8
Trained at
New England College of Optometry
Licensed in
CA, ID, MA, MT, NY, TX
In the registry since
2018
Specialties on file
6
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

18120 Brookhurst St Ste 19
Fountain Valley, CA 92708-6727
Phone: (949) 208-9009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 870 Providence Hwy, Dedham, MA 02026 — (781) 329-0067

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34715 (CA)
Optometrist Taxonomy 152W00000X · Licence ODP-100657 (ID)
Optometrist Taxonomy 152W00000X · Licence 11124T (TX)
Optometrist Taxonomy 152W00000X · Licence 5295 (MA)
Optometrist Taxonomy 152W00000X · Licence OPT-OPT-LIC-5171 (MT)
Optometrist Taxonomy 152W00000X · Licence 011064 (NY)

Record details

NPI number1568950657
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address18120 Brookhurst St, Ste 19, Fountain Valley, CA 92708-6727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Total Vision Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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