NPIMap

Organization Active NPI

Guang-Ji Wang

  • Optometrist
  • Malden, MA
National Provider Identifier
1346427846
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3715 Issued in MA
Legal business name
GUANG-JI WANG
Practice address
629 Main St
Malden, MA 02148-3921
Phone
(781) 321-6989
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Dr. Guang-Ji Wang, O.D.NPI 1457462921
Title
Owner
Phone
(781) 321-6989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3715 MA Primary

Addresses

Primary practice location

629 Main St
Malden, MA 02148-3921

Mailing address

629 Main St
Malden, MA 02148-3921
Phone (781) 321-6989

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1346427846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483921",
            "telephone_number": "781-321-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483921",
            "telephone_number": "781-321-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUANG-JI WANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GUANG-JI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-321-6989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.