Active NPI
Wendy Kok, O.D.
- Optometrist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002753
- Practice address
- 1457 Whalley Ave
New Haven, CT 06515-1153 - Phone
- (203) 562-3937
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002753 | CT | Primary |
Addresses
Primary practice location
1457 Whalley Ave
New Haven, CT 06515-1153
Mailing address
1125 Commonwealth Ave
Apt #31
Allston, MA 02134-3201
Phone (617) 276-5694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002753 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
Locations
145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686
1457 Whalley Ave
New Haven, CT 06515
Phone (203) 387-3937
54 Park Lane Rd
New Milford, CT 06776
Phone (860) 354-0130
87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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.
-
- Optometrist
- Ansonia, CT
- NPI 1396119194
-
- Optometrist
- New Haven, CT
- NPI 1902270614
-
- Optometrist
- Vernon, CT
- NPI 1992207468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1376709303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 COMMONWEALTH AVE",
"address_2": "APT #31",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021343201",
"telephone_number": "617-276-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 WHALLEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151153",
"telephone_number": "203-562-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOK",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.