Individual provider Active NPI

Ipu Emily Wang, O.D.

  • Optometrist
  • Pearland, TX
National Provider Identifier
1750331658
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6529TG Issued in TX
Practice address
2730 Smith Ranch Rd.
Ste 114
Pearland, TX 77584
Phone
(713) 436-4816
Fax
(713) 436-3546
NPI assigned
May 11, 2006
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6529TG TX Primary

Addresses

Primary practice location

2730 Smith Ranch Rd.
Ste 114
Pearland, TX 77584

Mailing address

2730 Smith Ranch Rd.
Ste 114
Pearland, TX 77584
Phone (713) 436-4816

Other names 1

  • Mrs. Emily Wang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050627001481 TX Practitioner - Optometry 1658316856 Reassigns benefits to 1 organization
Practice locations: Katy, TX; Pearland, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyedoc Vision Services, PLLCGroup PAC ID 7719160530, 6 clinicians

Practice addresses (Care Compare)

2730 Smith Ranch Rd
Suite 114
Pearland, TX 77584-5250
Phone (713) 436-4816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyedoc Vision Services, PLLC Optometrist CurrentSince Feb 20, 2011 Accepting new patients

Locations

231 S Fry Rd
Katy, TX 77450
Phone (281) 492-6400

2730 Smith Ranch Rd
Ste 114
Pearland, TX 77584
Phone (713) 436-0102

10415 W Grand Pkwy S
Ste 100B
Richmond, TX 77407
Phone (346) 202-7616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1750331658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SMITH RANCH RD.",
            "address_2": "STE 114",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-436-4816",
            "fax_number": "713-436-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SMITH RANCH RD.",
            "address_2": "STE 114",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-436-4816",
            "fax_number": "713-436-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "IPU",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6529TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WANG",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.