Wanda Pak, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M 32178 Issued in DC

Practice address

3301 New Mexico Ave NW
Suite 226
Washington, DC 20016-3622

Phone

(202) 244-9404

Fax

(202) 244-9403

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Duke University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Wanda Pak, M.D., P.C.

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1700946431
  Medicare reassignment NPD Authorized official
• Washington National Eye Center

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1437175684
  Medicare reassignment NPD
• David F. Plotsky MD PC

  • Ophthalmology Physician
  • Bethesda, MD
  • NPI 1255580890
  NPD (past)
• University Eye Specialists, PC

  • Ophthalmology Physician
  • Knoxville, TN
  • NPI 1316916158
  NPD (past)
• University Eye Surgeons, P.C.

  • Eyewear Supplier
  • Knoxville, TN
  • NPI 1598772964
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609804293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 226",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-244-9404",
            "fax_number": "202-244-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 226",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-244-9404",
            "fax_number": "202-244-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "WANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "M 32178",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D 005640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "M 32178",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAL LICENSE",
            "identifier": "D005640",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Management Institute of DC, LLC
• Painless Root Canal Specialists, PLLC
• Maria D Paipa-Farias
• Paola Paiva, RBT
• Jennifer Pak, M.D.
• Ramya Sravani Pakala
• Dona Paknejad
• Daisy Palacios Broz
• Dilcia Beatriz Palacios-Valle
• Carolyn Palaski

• Ophthalmology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Ophthalmology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.