Individual provider Active NPI

Wen Ping David Shiau

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1285120139
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2538 Issued in NC
Practice address
13220 Strickland Rd Ste 160
Raleigh, NC 27613-5213
Phone
(919) 870-6430
Fax
(919) 870-6517
NPI assigned
Jul 3, 2018
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2538 NC Primary

Addresses

Primary practice location

13220 Strickland Rd Ste 160
Raleigh, NC 27613-5213

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181107003259 NC Practitioner - Optometry 9335493428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1975 High House Rd
Cary, NC 27519-8452
Phone (919) 461-0771

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2538NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Sep 4, 2018 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 4, 2018 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

2346 Walnut St
Cary, NC 27518
Phone (919) 851-0093

1823 E Arbors Dr
Ste 325
Charlotte, NC 28262
Phone (704) 971-5000

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

3101 Shannon Rd
Durham, NC 27707
Phone (919) 493-8508

3500 N Duke St
#1
Durham, NC 27704
Phone (919) 595-2020

7001 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 861-9178

173 Grand Hill Pl
Holly Springs, NC 27540
Phone (919) 346-2062

3603 Davis Dr
Ste 100
Morrisville, NC 27560
Phone (919) 234-4888

13220 Strickland Rd
Ste 160
Raleigh, NC 27613
Phone (919) 870-6430

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1285120139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 STRICKLAND RD STE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135213",
            "telephone_number": "919-870-6430",
            "fax_number": "919-870-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 High House Rd",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27519",
            "country_code": "US",
            "telephone_number": "919-461-0771",
            "fax_number": "919-481-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIAU",
        "first_name": "WEN PING",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.