Active NPI
Wenhong Tao, O.D.
- Optometrist
- Everett, MA
National Provider Identifier
1659471316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4172
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09Y003053NH01 | Other | NH | ANTHEM BCBS |
| 2538668 | Other | NH | AETNA |
| NH0672 | Other | NH | EYEMED |
| 10148 | Other | NH | SPECTERA VISION PLAN |
| 30351284 | Medicaid | NH | |
| 4123904 | Other | NH | MVP HEALTHCARE |
| 0704202 | Medicaid | MA | |
| OP1770 | Other | MA | EYEMED |
| 33741 | Other | NH | AVESIS |
| W16228 | Other | MA | BCBS OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0692 | NH | MD | Athletic 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.