Active NPI
Wensheng Winston Yao, O.D.
- Optometrist
- Lawrence, MA
National Provider Identifier
1780641423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4171
- Practice address
- 410 Essex St
Lawrence, MA 01840-1214 - Phone
- (978) 682-8588
- NPI assigned
- Apr 27, 2006
- Last updated
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4171 | MA | Primary |
| Optometrist | 152W00000X | 0694 | NH |
Addresses
Primary practice location
410 Essex St
Lawrence, MA 01840-1214
Mailing address
67 Sherburne Rd S
Lexington, MA 02421-7060
Phone (617) 308-4018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0313840 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060113000707 | NH | Practitioner - Optometry | 0749204931 | Practice locations: Nashua, NH |
| I20070921000331 | MA | Practitioner - Optometry | 0749204931 | Practice locations: Lawrence, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
410 Essex St
Lawrence, MA 01840-1214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4171 | MA | MD | Counselor |
| 0694 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Winston Yao OD PC | Optometrist | Current | Accepting new patients |
| Tallman Eye Associates, PC | Optometrist | Past | Accepting new patients |
Locations
410 Essex St
Lawrence, MA 01840
Phone (978) 682-8588
Organizations & group practices 2
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": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1780641423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 SHERBURNE RD S",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217060",
"telephone_number": "617-308-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 ESSEX ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401214",
"telephone_number": "978-682-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAO",
"first_name": "WENSHENG",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4171",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0694",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0313840",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.