Active NPI
Bing Lan Rong, O.D.
- Optometrist
- Burlington, MA
National Provider Identifier
1891877825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3906
- Practice address
- 101 Middlesex Tpke
Burlington, MA 01803-4914 - Phone
- (781) 270-7800
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3906 | MA | Primary |
Addresses
Primary practice location
101 Middlesex Tpke
Burlington, MA 01803-4914
Mailing address
101 Middlesex Tpke
Burlington, MA 01803-4914
Phone (781) 270-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369438 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amo, Inc/Pearle Vision | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891877825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MIDDLESEX TPKE",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034914",
"telephone_number": "781-270-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MIDDLESEX TPKE",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034914",
"telephone_number": "781-270-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONG",
"first_name": "BING LAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369438",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.