Individual provider Active NPI

Joanna Lynne Wen, O.D.

  • Optometrist
  • Manassas, VA
National Provider Identifier
1376806034
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002152 Issued in VA
Practice address
8140 Ashton Ave Ste 115
Manassas, VA 20109-5699
Phone
(703) 361-8284
NPI assigned
Jun 19, 2012
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002152 VA Primary

Addresses

Primary practice location

8140 Ashton Ave Ste 115
Manassas, VA 20109-5699

Mailing address

8140 Ashton Ave Ste 115
Manassas, VA 20109-5699
Phone (703) 361-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20120731000014 VA Practitioner - Optometry 4284890666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Panner and Wen PCGroup PAC ID 1052355484, 2 clinicians

Practice addresses (Care Compare)

8140 Ashton Ave
Suite 115
Manassas, VA 20109-5699
Phone (703) 361-8284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002152VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Panner & Wen, PC Optometrist CurrentSince Jul 23, 2012 Accepting new patients

Locations

7771 Ashton Ave
Manassas, VA 20109
Phone (703) 361-8284

8140 Ashton Ave
Ste 115
Manassas, VA 20109
Phone (703) 361-8284

Organizations & group practices 1

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1376806034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE STE 115",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095699",
            "telephone_number": "703-361-8284",
            "fax_number": "703-361-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE STE 115",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095699",
            "telephone_number": "703-361-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEN",
        "first_name": "JOANNA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.