Jessica Lan Wang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9768T Issued in TX

Practice address

2830 Jackson Ave Apt 48F
Long Island City, NY 11101-3326

Phone

(469) 230-0666

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TX2 enrollments

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 2

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newberry Vision Center, PLLCGroup PAC ID 7911222328, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Newberry Vision Center, PLLC

  • Optometrist
  • McKinney, TX
  • NPI 1841609187
  Medicare reassignment Care Compare group NPD
• JL Vision, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1861849671
  Medicare reassignment NPD
• LMJ Vision, Inc.

  • Optometrist
  • New York, NY
  • NPI 1740509736
  Medicare reassignment NPD
• The Gelman'S Optical, Inc

  • Optometrist
  • New York, NY
  • NPI 1336158500
  Medicare reassignment NPD
• McKinney Eyecare, PC

  • Optometrist
  • McKinney, TX
  • NPI 1588855191
  Medicare reassignment
• Oneopto TX 2 PLLC

  • Optometrist
  • McKinney, TX
  • NPI 1962375394
  NPD
• Insight Optical, LLC

  • Optician
  • Brooklyn, NY
  • NPI 1417179649
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1497314355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 JACKSON AVE APT 48F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013326",
            "telephone_number": "469-230-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 JACKSON AVE APT 48F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013326",
            "telephone_number": "469-230-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JESSICA",
        "middle_name": "LAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9768T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camari Wallace, M.D.
• Melissa Ann Wallentin, RPA-C
• Antaeus T Waller
• Lina Walsh
• Le-Ben Wan, MD
• Liang-Yao Wang
• Richard Chen Wang, MD
• Vincent Wang, DPT
• Yu-Hsin Wang
• Nardine Warburton-McLeod, LMSW

• Optometrist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.