William Wang OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

001901 Issued in GA

Legal business name

WILLIAM WANG OD PC

Practice address

3826 Cobb Parkway N
Acworth, GA 30101-4022

Phone

(770) 966-1914

NPI assigned

Nov 14, 2009

Organization subpart

No

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

Authorized official

Name

William W Wang, ODNPI 1043426711

Title

Owner

Phone

(678) 895-6338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• William Wha Wang, O.D.

  • Optometrist
  • Kennesaw, GA
  • NPI 1043426711
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1043547896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 GROVE PARK DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966178",
            "telephone_number": "770-966-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 COBB PARKWAY N",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014022",
            "telephone_number": "770-966-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WANG OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-895-6338",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Wiklof
• Stephanie Wilder, MA, LAPC, NCC
• Marion Elizabeth Wilhelm
• Laura Wilkinson
• Amber Willard, PMHNP-BC
• Allison Kwan Williams
• Amiah Williams
• Christina Williams
• Deliz Williams
• Jennifer Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; 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.