Active NPI
Wang Eye Clinic
- Ophthalmology Physician
- Chamblee, GA
National Provider Identifier
1073785440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 056379
- Legal business name
- WANG EYE CLINIC
- Practice address
- 2505 Chamblee Tucker Rd
Suite 207
Chamblee, GA 30341-3526 - Phone
- (770) 457-0012
- Fax
- (770) 457-0014
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zhengxiang Wang, M.D.
- Title
- Owner
- Phone
- (770) 457-0012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 056379 | GA | Primary |
Addresses
Primary practice location
2505 Chamblee Tucker Rd
Suite 207
Chamblee, GA 30341-3526
Mailing address
2505 Chamblee Tucker Rd
Suite 207
Chamblee, GA 30341-3526
Phone (770) 457-0012
National Provider Directory
National Provider DirectoryLocations
2505 Chamblee Tucker Rd
Ste 207
Chamblee, GA 30341
Phone (770) 457-0012
5150 Buford Hwy NE
Ste A220
Doraville, GA 30340
Phone (770) 457-0012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1073785440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 CHAMBLEE TUCKER RD",
"address_2": "SUITE 207",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303413526",
"telephone_number": "770-457-0012",
"fax_number": "770-457-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 CHAMBLEE TUCKER RD",
"address_2": "SUITE 207",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303413526",
"telephone_number": "770-457-0012",
"fax_number": "770-457-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WANG EYE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "ZHENGXIANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-457-0012",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "GA",
"license": "056379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.