Organization Active NPI

Wang Eye Clinic

  • Ophthalmology Physician
  • Chamblee, GA
National Provider Identifier
1073785440
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
056379 Issued in GA
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

Updated by the provider on Mar 26, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.