Abdoulaye Wann, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00715 Issued in RI

Practice address

271 Thayer St
Providence, RI 02906-1524

Phone

(401) 214-6036

NPI assigned

Jun 22, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Rhode Island Professional PCGroup PAC ID 3870966369, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aeg Rhode Island Professional, PC

  • Optometrist
  • Pawtucket, RI
  • NPI 1730898263
  Medicare reassignment Care Compare group NPD
• Advanced Eye Care Associates

  • Optometrist
  • Providence, RI
  • NPI 1518973056
  Medicare reassignment NPD
• The Eyeglass Store Inc

  dba Family Eye Care Services

  • Optometrist
  • Pawtucket, RI
  • NPI 1437290889
  NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1770152993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHAPIN AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091724",
            "telephone_number": "302-415-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061524",
            "telephone_number": "401-214-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANN",
        "first_name": "ABDOULAYE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanzhang Wang
• Li Juan Wang, M.D.
• Ting-Yu Wang, MD
• Yihong Wang, MD
• Grace Wanjiku, M.D.
• Garrick Wann, CADC, LCDP
• Wendy Warburton, CNM
• Warby Parker Inc.
• Erin Ward-Ciesielski, PHD
• Kelly-Lynne Ward-Miller, MSW, LICSW

• Optometrist in Providence, RI
• Providers in Providence, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.

Verify at the official NPI Registry.