Active NPI
Yan Wang, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1942129481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11725TG
- Practice address
- 4401 Martin Luther King Blvd
Houston, TX 77204-3069 - Phone
- (713) 743-1921
- Fax
- (713) 743-0963
- NPI assigned
- Jul 10, 2026
- Sex
- Male
- 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 | 11725TG | TX | Primary |
Addresses
Primary practice location
4401 Martin Luther King Blvd
Houston, TX 77204-3069
Mailing address
4401 Martin Luther King Blvd
Houston, TX 77204-3069
Phone (713) 743-1921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11725TG | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4401 Martin Luther King Blvd
Houston, TX 77204-3069
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1942129481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 MARTIN LUTHER KING BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772043069",
"telephone_number": "713-743-1921",
"fax_number": "713-743-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 MARTIN LUTHER KING BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772043069",
"telephone_number": "713-743-1921",
"fax_number": "713-743-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11725TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11725TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.