Weidong Li, OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

7305T Issued in TX

Legal business name

WEIDONG LI, OD PA

Practice address

782 E Interstate 30
Rockwall, TX 75087-5503

Phone

(972) 772-6189

Fax

(972) 772-6189

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Hope Andrade

Title

Secretary of State

Phone

(512) 463-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Weidong Li, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1508175415
  Medicare reassignment

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1538462064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 GRAND CANYON WAY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 E INTERSTATE 30",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875503",
            "telephone_number": "972-772-6189",
            "fax_number": "972-772-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIDONG LI, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "SECRETARY OF STATE",
        "authorized_official_telephone_number": "512-463-5555"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7305T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Webster, CSFA
• John Clark Weddle, D.C.
• Shelby Wegman, PA-C
• Autumn Weidenbach, APRN
• Daniel J Weido, DPM
• McKaylee Lynn Weishuhn
• Nasreen Welden, M.A., LPC
• Jennifer Michelle Wells, OPA-C
• Michael Wentworth, PA-C
• Ambra Wesley, PA-C

• Optometrist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.