Individual provider Active NPI

Benjamin Bin Wang, O.D.

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1720216484
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002212 Issued in VA
Practice address
5049 Valley View Blvd NW
Roanoke, VA 24012-2074
Phone
(540) 362-7565
Fax
(540) 563-0441
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002212 VA Primary

Addresses

Primary practice location

5049 Valley View Blvd NW
Roanoke, VA 24012-2074

Mailing address

5049 Valley View Blvd NW
Roanoke, VA 24012-2074
Phone (540) 362-7565

Other practice location 1

1205 W Main St
Salem, VA 24153-4709
Phone (540) 444-5656

Other practice location 2

620 N Main St Ste 101
Blacksburg, VA 24060-3371
Phone (540) 953-0136

Other practice location 3

8125 Timberlake Rd
Lynchburg, VA 24502-2607
Phone (434) 237-2100

Other practice location 4

3763 Franklin Rd SW
Roanoke, VA 24014-2261
Phone (540) 989-6515

Other practice location 5

442 Peppers Fry Rd NW
Christiansburg, VA 24073-5780
Phone (540) 382-1731

Other identifiers 1

IdentifierTypeStateIssuer
30017663010002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150410001893 VA Practitioner - Optometry 7618013996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Curran Optometry Centers PCGroup PAC ID 8729307822, 11 clinicians

Practice addresses (Care Compare)

1205 W Main St
Salem, VA 24153-4709
Phone (540) 444-5656

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0618002212VAMDOptometrist
007433NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Curran Optometry Centers PC Optometrist CurrentSince Dec 26, 2020 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Dr. Karen E. Boro and Associates Optometrist Past Accepting new patients

Locations

620 N Main St
Ste 101
Blacksburg, VA 24060
Phone (540) 953-0136

442 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-1731

8125 Timberlake Rd
Lynchburg, VA 24502
Phone (434) 237-2100

3763 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 989-6515

5049 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 362-7565

1205 W Main St
Salem, VA 24153
Phone (540) 444-5656

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1720216484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122074",
            "telephone_number": "540-362-7565",
            "fax_number": "540-563-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122074",
            "telephone_number": "540-362-7565",
            "fax_number": "540-563-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241534709",
            "country_code": "US",
            "telephone_number": "540-444-5656",
            "fax_number": "540-444-5660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240603371",
            "country_code": "US",
            "telephone_number": "540-953-0136",
            "fax_number": "540-563-0441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8125 Timberlake Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022607",
            "country_code": "US",
            "telephone_number": "434-237-2100",
            "fax_number": "434-239-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3763 Franklin Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142261",
            "country_code": "US",
            "telephone_number": "540-989-6515",
            "fax_number": "540-772-2597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "442 Peppers Fry Rd NW",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240735780",
            "country_code": "US",
            "telephone_number": "540-382-1731",
            "fax_number": "540-382-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "BENJAMIN",
        "middle_name": "BIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017663010002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.