NPIMap

Individual provider Active NPI

Tracy Wang Krick, M.D.

  • Cornea and External Diseases Specialist Physician
  • Woodbury, MN
National Provider Identifier
1881933711
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
68889 Issued in MN
Practice address
2080 Woodwinds Dr Ste 110
Woodbury, MN 55125-2537
Phone
(651) 714-6901
NPI assigned
Feb 13, 2013
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 68889 MN Primary

Addresses

Primary practice location

2080 Woodwinds Dr Ste 110
Woodbury, MN 55125-2537

Mailing address

2080 Woodwinds Dr Ste 110
Woodbury, MN 55125-2537
Phone (651) 714-6901

Other names 1

  • Yu Tung Wang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001629 MN Practitioner - Ophthalmology 8820388705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Paul Eye Clinic PAGroup PAC ID 6709773823, 20 clinicians

Practice addresses (Care Compare)

1675 Beam Ave
Suite 100
Maplewood, MN 55109-1478
Phone (651) 770-2904

2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2539
Phone (651) 578-6949

5945 Norwich N Ave
Oak Park Heights, MN 55082-1290
Phone (651) 351-2038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.92 of 100Reported as group
Quality
89.37
Promoting interoperability
100
Improvement activities
40
Cost
73.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68889MNMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Eye Clinic PA CurrentSince Sep 1, 2021 Accepting new patients
St Paul Eye Clinic PA CurrentSince Sep 1, 2021 Accepting new patients

Locations

1215 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 454-2526

1675 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 227-6634

2680 Snelling Ave N
Ste 110
Roseville, MN 55113
Phone (651) 631-2922

1093 Grand Ave
Saint Paul, MN 55105
Phone (651) 222-7343

5945 Norwich Ave N
Stillwater, MN 55082
Phone (651) 351-2038

2080 Woodwinds Dr
Ste 110
Woodbury, MN 55125
Phone (651) 738-6500

2080 Woodwinds Dr
Ste 230
Woodbury, MN 55125
Phone (651) 578-6949

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1881933711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252537",
            "telephone_number": "651-714-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252537",
            "telephone_number": "651-714-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICK",
        "first_name": "TRACY",
        "middle_name": "WANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MN",
            "license": "68889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU",
            "last_name": "WANG",
            "middle_name": "TUNG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.