Yi-Kwen Nicolle Wah, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009977 Issued in NY

Practice address

2041 86TH St
Brooklyn, NY 11214-3203

Phone

(718) 266-2284

NPI assigned

Jul 13, 2024

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

Other names 1

• Nicolle Wah Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1306683560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143203",
            "telephone_number": "718-266-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAH",
        "first_name": "YI-KWEN",
        "middle_name": "NICOLLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLLE",
            "last_name": "WAH",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shia Wagschal
• Yosef Wagschal
• Elimelech Wagshall, DDS
• Raizel Wagshall, LMSW
• Yitzchok D. Wagshul, PH.D.
• Qadri Wahab
• Danielle Wahba
• David Wahba, MS ED
• Jeanette Wahba
• Joseph Wahba, MD

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.