Active NPI
Amy Wang, O.D.
- Optometrist
- El Monte, CA
National Provider Identifier
1245304070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12672-T
- Practice address
- 9710 Lower Azusa Rd
El Monte, CA 91731-1024 - Phone
- (626) 329-0818
- Fax
- (626) 329-0887
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12672-T | CA | Primary |
Addresses
Primary practice location
9710 Lower Azusa Rd
El Monte, CA 91731-1024
Mailing address
9710 Lower Azusa Rd
El Monte, CA 91731-1024
Phone (626) 329-0818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245304070 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12672-T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Riverside, CA
- NPI 1366598120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1245304070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9710 LOWER AZUSA RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311024",
"telephone_number": "626-329-0818",
"fax_number": "626-329-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9710 LOWER AZUSA RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311024",
"telephone_number": "626-329-0818",
"fax_number": "626-329-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12672-T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245304070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.