Individual provider Active NPI

Wenhong Tao, O.D.

  • Optometrist
  • Everett, MA
National Provider Identifier
1659471316
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4172 Issued in MA
Practice address
1 Mystic View Rd
Everett, MA 02149-2428
Phone
(617) 389-0717
Fax
(617) 381-7452
NPI assigned
Sep 23, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0692 NH
Optometrist 152W00000X 4172 MA Primary

Addresses

Primary practice location

1 Mystic View Rd
Everett, MA 02149-2428

Mailing address

1 Mystic View Rd
C/O Target Optical
Everett, MA 02149-2428
Phone (617) 389-0717

Other practice location 1

1 Mystic View Rd
Everett, MA 02149-2428
Phone (617) 389-0717

Other practice location 2

1 Mystic View Rd
Everett, MA 02149-2428
Phone (617) 389-0717

Other identifiers 10

IdentifierTypeStateIssuer
09Y003053NH01OtherNHANTHEM BCBS
2538668OtherNHAETNA
NH0672OtherNHEYEMED
10148OtherNHSPECTERA VISION PLAN
30351284MedicaidNH
4123904OtherNHMVP HEALTHCARE
0704202MedicaidMA
OP1770OtherMAEYEMED
33741OtherNHAVESIS
W16228OtherMABCBS OF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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

Enrollment IDStateProvider typePAC IDDetails
I20051202000483 MA Practitioner - Optometry 8628098837 Practice locations: Everett, MA
I20060111001131 NH Practitioner - Optometry 8628098837 Practice locations: Amherst, NH; Salem, NH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Mystic View Rd
Everett, MA 02149-2428
Phone (617) 389-0717

85 Route 101a
Amherst, NH 03031-2216
Phone (603) 673-6295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0692NHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1659471316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MYSTIC VIEW RD",
            "address_2": "C/O TARGET OPTICAL",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021492428",
            "telephone_number": "617-389-0717",
            "fax_number": "617-381-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MYSTIC VIEW RD",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021492428",
            "telephone_number": "617-389-0717",
            "fax_number": "617-381-7452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mystic View Rd",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "MA",
            "postal_code": "021492428",
            "country_code": "US",
            "telephone_number": "617-389-0717",
            "fax_number": "617-381-7452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Mystic View Rd",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "MA",
            "postal_code": "021492428",
            "country_code": "US",
            "telephone_number": "617-389-0717",
            "fax_number": "617-381-7452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAO",
        "first_name": "WENHONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0692",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "09Y003053NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2538668",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NH0672",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION PLAN",
            "identifier": "10148",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30351284",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "4123904",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704202",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP1770",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "33741",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "W16228",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.