DRS. Panner & Wen, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRS. PANNER & WEN, PC

Practice address

8140 Ashton Ave
Suite 115
Manassas, VA 20109-5698

Phone

(703) 361-8284

Fax

(703) 361-0318

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joanna Lynne Wen, O.D.NPI 1376806034

Title

Vice President

Phone

(703) 361-8284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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

• Joanna Lynne Wen, O.D.

  • Optometrist
  • Manassas, VA
  • NPI 1376806034
  Medicare reassignment Care Compare group NPD Authorized official
• Tammy Jane Panner, O.D.

  • Optometrist
  • Manassas, VA
  • NPI 1295733798
  Medicare reassignment Care Compare group NPD
• Denise Louise Paquin, O.D.

  • Optometrist
  • Manassas, VA
  • NPI 1447258934
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1164618245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 115",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095698",
            "telephone_number": "703-361-8284",
            "fax_number": "703-361-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 115",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095698",
            "telephone_number": "703-361-8284",
            "fax_number": "703-361-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. PANNER & WEN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WEN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-361-8284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Lee Dudley
• Holly Eldridge Dudley

• Optometrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.