Patricia Wai OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PATRICIA WAI OD INC

Practice address

12721 Moreno Beach Dr
Moreno Valley, CA 92555-4411

Phone

(626) 560-9922

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Patricia Wai, ODNPI 1306227392

Title

Optometrist/Ceo

Phone

(626) 560-9922

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Wai, O.D.

  • Optometrist
  • Moreno Valley, CA
  • NPI 1306227392
  NPD Authorized official

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1710510078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28130 AUCKLAND CT",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862437",
            "telephone_number": "626-560-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 MORENO BEACH DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554411",
            "telephone_number": "626-560-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA WAI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "WAI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OPTOMETRIST/CEO",
        "authorized_official_telephone_number": "626-560-9922",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakuntala Sachin Patil, MD
• Bibiana Patricia Patino, MD
• Paul Michael Patlan, MD
• Yolanda Patlan, N.P.
• Patricia Mann
• Lizette Patterson, RRT
• Courtney Christine Payan, RD
• Peaceful Heart Healthcare LLC
• Antonio Pearce, MS
• Shontoya Antoinette Pearsall

• Optometrist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.