Cheng Yu Wang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14004TLG Issued in CA

Practice address

15908 Bear Valley Rd
Victorville, CA 92395

Phone

(760) 243-4559

NPI assigned

Nov 30, 2010

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Cya Optometry Corporation

  • Optometrist
  • Barstow, CA
  • NPI 1568876852
  Medicare reassignment NPD Authorized official
• Wang Optometric Associates Inc.

  • Optometrist
  • Victorville, CA
  • NPI 1609179803
  Medicare reassignment NPD Authorized official
• Sheila M. Bartlett a Professional Corporation

  • Optometrist
  • Victorville, CA
  • NPI 1003015041
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1881996692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15908 BEAR VALLEY RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959547",
            "telephone_number": "951-442-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15908 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Armory Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923115478",
            "country_code": "US",
            "telephone_number": "760-252-7518",
            "fax_number": "760-252-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHENG YU",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14004TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Walsh
• Leticia Walsh
• Markes Walton
• Wang Optometric Associates Inc.
• Ai-Jen Wang, M.D.
• Dawei Wang, D.O
• Li Miao Wang, PA-C
• Yu Lan Wang, LAC
• Susan Njeri Wanjiru, LVN
• Autumn Marie Ward, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.