NPIMap

Organization Active NPI

Wang Vision,Inc.

  • Optometrist
  • Boston, MA
National Provider Identifier
1073614004
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3715 Issued in MA
Legal business name
WANG VISION,INC.
Practice address
108 Lincoln St
1B
Boston, MA 02111-2500
Phone
(617) 350-7823
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Guang-Ji Wang, O.D.NPI 1457462921
Title
President
Phone
(617) 350-7823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3715 MA Primary

Addresses

Primary practice location

108 Lincoln St
1B
Boston, MA 02111-2500

Mailing address

108 Lincoln St
1B
Boston, MA 02111-2500
Phone (617) 350-7823

National Provider Directory

National Provider Directory

Locations

108 Lincoln St
Ste 1B
Boston, MA 02111
Phone (617) 350-7823

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1073614004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LINCOLN ST",
            "address_2": "1B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112500",
            "telephone_number": "617-350-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LINCOLN ST",
            "address_2": "1B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112500",
            "telephone_number": "617-350-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG VISION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GUANG-JI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-350-7823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.