Individual provider Active NPI

Wendy Ni Ahn, OD

  • Optometrist
  • Los Altos, CA
National Provider Identifier
1932324670
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12738T Issued in CA
Practice address
261 Main St
Los Altos, CA 94022-2909
Phone
(650) 947-3937
Fax
(650) 947-3935
NPI assigned
Apr 16, 2007
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12738T CA Primary

Addresses

Primary practice location

261 Main St
Los Altos, CA 94022-2909

Mailing address

26 Del Monte Avenue
Los Altos, CA 94022
Phone (650) 947-0671

Other names 1

  • Dr. Wendy Ni Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091002000337 CA Practitioner - Optometry 6608912795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

261 Main St
Los Altos, CA 94022-2909
Phone (650) 947-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12738TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Ni, O.D. Inc. Optometrist CurrentSince Aug 29, 2008 Accepting new patients
Sandra J. Bozich, O.D., Inc. Optometrist Past Accepting new patients

Locations

215 Main St
Los Altos, CA 94022
Phone (650) 947-3937

261 Main St
Los Altos, CA 94022
Phone (650) 947-3937

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1932324670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DEL MONTE AVENUE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94022",
            "telephone_number": "650-947-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222909",
            "telephone_number": "650-947-3937",
            "fax_number": "650-947-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "WENDY",
        "middle_name": "NI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12738T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "NI",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.