Active NPI
Jenny Wang, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1649191628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 011409
- Practice address
- 433 Park Ave
Brooklyn, NY 11205-2735 - Phone
- (718) 534-7100
- NPI assigned
- Jul 23, 2026
- Last updated
- Jul 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 011409 | NY | Primary |
Addresses
Primary practice location
433 Park Ave
Brooklyn, NY 11205-2735
Mailing address
1 John St
Greenvale, NY 11548-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 John St
Greenvale, NY 11548-1024
336 E 54TH St
Apt 6B
New York, NY 10022-5046
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1649191628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOHN ST",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 PARK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052735",
"telephone_number": "718-534-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JENNY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "011409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.