Organization Active NPI

Howard C. Wang, O.D., a Professional Corporation

  • Optometrist
  • Carlsbad, CA
National Provider Identifier
1417347014
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12673T Issued in CA
Legal business name
HOWARD C. WANG, O.D., A PROFESSIONAL CORPORATION
Practice address
7630 Via Campanile
Suite 134
Carlsbad, CA 92009-8486
Phone
(760) 613-9526
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Howard Chia-Hao Wang, O.D.NPI 1255469433
Title
President/Ceo
Phone
(760) 613-9526

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 12673T CA Primary

Addresses

Primary practice location

7630 Via Campanile
Suite 134
Carlsbad, CA 92009-8486

Mailing address

7630 Via Campanile
Suite 134
Carlsbad, CA 92009-8486
Phone (760) 613-9526

Other names 1

  • Modern Eyes Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150506000628 CA Part B Supplier - Clinic/Group Practice 2769701101 Receives reassigned benefits from 2 practitioners
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

7630 Via Campanile
Ste 134
Carlsbad, CA 92009
Phone (760) 613-9526

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1417347014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 VIA CAMPANILE",
            "address_2": "SUITE 134",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098486",
            "telephone_number": "760-613-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 VIA CAMPANILE",
            "address_2": "SUITE 134",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098486",
            "telephone_number": "760-613-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD C. WANG, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "CHIA-HAO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-613-9526",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12673T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.