Individual provider Active NPI

Cindy Wang, O.D.

  • Optometrist
  • Dearborn, MI
National Provider Identifier
1679552525
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004166 Issued in MI
Practice address
15212 Michigan Ave
Dearborn, MI 48126-3497
Phone
(313) 582-8856
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004166 MI Primary

Addresses

Primary practice location

15212 Michigan Ave
Dearborn, MI 48126-3497

Mailing address

15212 Michigan Ave
Dearborn, MI 48126-3497
Phone (313) 582-8856

Other identifiers 1

IdentifierTypeStateIssuer
4738944MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000590 MI Practitioner - Optometry 4789766528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaina Kronenberg, M.D.,PLCGroup PAC ID 3870512288, 2 clinicians

Practice addresses (Care Compare)

15212 Michigan Ave
Dearborn, MI 48126-3497
Phone (313) 582-8856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alaina Kronenberg, M.D.,PLC CurrentSince Jan 5, 2025 Accepting new patients
Wce, LLC Optometrist Past Accepting new patients
Wce, LLC Past Accepting new patients

Locations

15212 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 582-8856

15212 Michigan Ave
Dearborn, MI 48126
Phone (313) 582-8856

Interoperability endpoints

  • Direct secure messaging: cwang@eyesurgeryinstitute.direct.eyemdemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1679552525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8856",
            "fax_number": "313-582-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CINDY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4738944",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.