Patricia Wai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15214 Issued in CA

Practice address

12721 Moreno Beach Dr
Moreno Valley, CA 92555-4411

Phone

(626) 560-9922

NPI assigned

Jun 15, 2015

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 NV

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

State licenses

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 and National Provider Directory roles.

• Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1518904622
  Medicare reassignment NPD
• Patricia Wai OD Inc

  • Optometrist
  • Moreno Valley, CA
  • NPI 1710510078
  NPD Authorized official
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1427382415
  Medicare reassignment
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1841523164
  NPD

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1306227392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28130 AUCKLAND CT",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862437",
            "telephone_number": "626-560-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 MORENO BEACH DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554411",
            "telephone_number": "626-560-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAI",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Kai Voong
• Huong T Vu, O.D.
• Madhir Shyam Vyas, MD
• Rohini Jagdish Vyas, DO
• Cynthia Lee Vykouk, PHARM. D.
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Paige Walker, BA
• Sarah Anne Walker

• Optometrist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.