Michael Wang, OD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT10004TPA Issued in CA

Practice address

9727 Elk Grove Florin Rd
#190
Elk Grove, CA 95624-2264

Phone

(916) 686-5165

Fax

(916) 686-5865

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gabriel Jacob MD a Medical CorporationGroup PAC ID 7416196928, 7 clinicians

Michael WangGroup PAC ID 4587057823, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwang239878@hisp.ehr.sutterhealth.org

Practitioners 1

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

• Lynn M Buttino, O.D.

  • Optometrist
  • Elk Grove, CA
  • NPI 1578657573
  Medicare reassignment

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.

• Michael Wang

  • Optometrist
  • Elk Grove, CA
  • NPI 1952877102
  Medicare reassignment Care Compare group NPD
• Gabriel Jacob MD, a Medical Corporation

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1801139175
  Medicare reassignment Care Compare group
• Gabriel Jacob MD, a Medical Corporation

  • Ophthalmology Physician
  • Roseville, CA
  • NPI 1841624525
  NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• Paris E. Royo, MD Inc

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1689755498
  NPD (past)
• Pearle Visioncare, Inc

  • Eyewear Supplier
  • Sacramento, CA
  • NPI 1023174018
  NPD (past)
• Pearle Visioncare, Inc

  • Eyewear Supplier
  • Capitola, CA
  • NPI 1508921594
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1104820950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "#190",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242264",
            "telephone_number": "916-686-5165",
            "fax_number": "916-686-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "#190",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242264",
            "telephone_number": "916-686-5165",
            "fax_number": "916-686-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MICHAEL",
        "credential": "OD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10004TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SDO100040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Walmart Stores, Inc.
• Kyla Walton
• Angelia Wang, MD, MPH
• Holly Kathleen Wang, LMFT
• Geoffrey Wann
• Katerina Warchola
• Cathryn Ward
• Caitlyn Marie Wardell
• Rosetta Melinda Ware, LVN

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.