Kemeng Wang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003029 Issued in GA

Practice address

5150 Buford Hwy NE Ste D120
Doraville, GA 30340-1170

Phone

(770) 234-9249

Fax

(770) 234-0306

NPI assigned

Dec 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• FL HMO D-SNP
• FL HMO C-SNP
• FL HMO

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.

• T.J. Vision

  • Optometrist
  • Doraville, GA
  • NPI 1295036556
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1013424936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE STE D120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401170",
            "telephone_number": "770-234-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE STE D120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401170",
            "telephone_number": "770-234-9249",
            "fax_number": "770-234-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KEMENG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• USA Adult Daycare, LLC.
• Dale Richard Valentine, R.N.
• Todd Prentice Valentine, LCSW
• Lorna Liz Velez - Velez, MS
• Canzata Yvonne Walker
• Xiao Wang
• Barry Werman
• Mark Hedge White, RPH., PD
• Ebony Williams, HAIR LOSS SPECIALIST
• Yao Nan Wu, D.C., P.C.

• Optometrist in Doraville, GA
• Providers in Doraville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.