Kevin Kai Wang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

15312 Issued in CA

Practice address

10620 Firestone Blvd
Norwalk, CA 90650-7410

Phone

(562) 406-8808

NPI assigned

Oct 25, 2011

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• K K Optometric Eye Care

  • Optometrist
  • Bakersfield, CA
  • NPI 1487341293
  NPD Authorized official
• KW Optometric Eye Care Inc

  • Optometrist
  • Norwalk, CA
  • NPI 1205523016
  NPD Authorized official
• Ip Optometric Eye Care Inc

  • Optometrist
  • Moorpark, CA
  • NPI 1649080623
  NPD

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1851677553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122777",
            "telephone_number": "663-631-2020",
            "fax_number": "661-829-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507410",
            "telephone_number": "562-406-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KEVIN",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thai Duc Vu, DO
• Kruti Wadhwani, RPT
• Walgreen Co
• Breana Walkington
• Andrea Shuyun Wang, L.AC.
• Xin Wang, MD
• Derek Wangberg, PSY.D.
• Eric Lee Washington
• Stacey Waters, MA
• Mackenzie Watkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.