Organization Active NPI

John Wang Ophthalmology LLC

Doing business as Solon Eye Care and Surgery

  • Ophthalmology Physician
  • Solon, OH
National Provider Identifier
1639882293
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JOHN WANG OPHTHALMOLOGY LLC
Doing business as
Solon Eye Care and Surgery
Practice address
34501 Aurora Rd Ste 302
Solon, OH 44139-3848
Phone
(585) 690-6199
NPI assigned
Dec 28, 2022
Last updated
Nov 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Dr. John Wang, MDNPI 1063917664
Title
Owner
Phone
(585) 690-6199

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
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

34501 Aurora Rd Ste 302
Solon, OH 44139-3848

Mailing address

3715 Warrensville Center Rd Apt 605
Shaker Heights, OH 44122-6372
Phone (585) 690-6199

Other names 1

  • Solon Eye Care and Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821002148 OH Part B Supplier - Clinic/Group Practice 9032571237 Receives reassigned benefits from 1 practitioner
Practice locations: Solon, OH

National Provider Directory

National Provider Directory

Locations

34501 Aurora Rd
Ste 302
Solon, OH 44139
Phone (440) 248-0868

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1639882293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 WARRENSVILLE CENTER RD APT 605",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441226372",
            "telephone_number": "585-690-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD STE 302",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393848",
            "telephone_number": "585-690-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WANG OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-690-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solon Eye Care and Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solon Eye Care and Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.