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
- Last updated
- 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 | Optometrist |
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, 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": "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.