Eddie C. Wang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11974TPL Issued in CA

Practice address

8522 Painter Ave
Whittier, CA 90602-3335

Phone

(562) 696-1883

Fax

(562) 616-7028

NPI assigned

Jan 11, 2007

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 CA

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

Southern California College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eddie C. Wang, O.D., Professional Optometric CorporationGroup PAC ID 1153406392, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Eddie C. Wang, O.D., Professional Optometric Corporation

  • Optometrist
  • Whittier, CA
  • NPI 1316129927
  Medicare reassignment Care Compare group NPD Authorized official
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744
  Medicare reassignment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1326317819
  NPD
• Jimmy K. Lee, M.D. Inc.

  • Cornea and External Diseases Specialist Physician
  • Irvine, CA
  • NPI 1750143681
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1770633968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023335",
            "telephone_number": "562-696-1883",
            "fax_number": "562-616-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023335",
            "telephone_number": "562-696-1883",
            "fax_number": "562-616-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "EDDIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11974TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Wall, M.A., MFT
• Wilmar O Wall, PHD MFT
• Alexandra Mary Walsh
• Jacqueline T. Walsh, O.D.
• Cynthia Wang
• Jimmy C Wang, DDS
• Lisa Shing-E Lu Wang, M.D.
• William Wang, D.O.
• Paul Wanlass, DC
• Karlie A Wanmer

• Optometrist in Whittier, CA
• Providers in Whittier, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.