Individual provider Active NPI

Howard C Wang, O.D.

  • Optometrist
  • Carlsbad, CA
National Provider Identifier
1255469433
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12673 Issued in CA
Practice address
7630 Via Campanile
Suite 134
Carlsbad, CA 92009-8486
Phone
(760) 613-9526
Fax
(760) 539-7202
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12673 CA Primary

Addresses

Primary practice location

7630 Via Campanile
Suite 134
Carlsbad, CA 92009-8486

Mailing address

648 Weatherstone Way
San Marcos, CA 92078-1095
Phone (760) 613-9526

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041004000731 CA Practitioner - Optometry 9234198581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7630 Via Campanile
Suite 134
Carlsbad, CA 92009-8499
Phone (760) 678-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howard C. Wang, O.D., a Professional Corporation Optometrist CurrentSince Feb 9, 2015 Accepting new patients

Locations

7630 Via Campanile
Ste 134
Carlsbad, CA 92009
Phone (760) 613-9526

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1255469433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 WEATHERSTONE WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781095",
            "telephone_number": "760-613-9526",
            "fax_number": "951-296-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 VIA CAMPANILE",
            "address_2": "SUITE 134",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098486",
            "telephone_number": "760-613-9526",
            "fax_number": "760-539-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HOWARD",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.