Li Jung Wang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12375 Issued in CA

Practice address

3200 Inland Empire Blvd Ste 140
Ontario, CA 91764-5569

Phone

(800) 805-2737

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wang Optometric Associates Inc.

  • Optometrist
  • Victorville, CA
  • NPI 1609179803
  Medicare reassignment NPD
• Justin a. Fu, MD a Medical Corporation

  • Sleep Medicine (Internal Medicine) Physician
  • Rancho Cucamonga, CA
  • NPI 1770884389
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1235444605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 N PALM AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841957",
            "telephone_number": "951-704-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 INLAND EMPIRE BLVD STE 140",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645569",
            "telephone_number": "800-805-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LI JUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia De Jesus Walton, LCSW
• Michael Wan, PHARMD
• Annebelle Wang
• Annika Wang
• Dolly Wang
• Patricia Wangsadipura, NP
• Malynda Wanis
• Esther Wanyoike, RN
• Brittany Wanzek, PA
• Raabia Waraich

• Optometrist in Ontario, CA
• Providers in Ontario, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.