Active NPI
Pei Wang, OD
- Optometrist
- Rockville, MD
National Provider Identifier
1942384102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1573
- Practice address
- 11125 Rockville Pike
Suite 303
Rockville, MD 20852-3142 - Phone
- (301) 231-5222
- Fax
- (301) 231-0551
- NPI assigned
- Oct 24, 2006
- Last updated
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601009798 | VA | |
| Optometrist | 152W00000X | TA1573 | MD | Primary |
Addresses
Primary practice location
11125 Rockville Pike
Suite 303
Rockville, MD 20852-3142
Mailing address
11125 Rockville Pike
Suite 303
Rockville, MD 20852-3142
Phone (301) 231-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11125 Rockville Pike
Suite 303
Rockville, MD 20852-3142
Phone (301) 231-5222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1573 | MD | MD | Optometrist |
| 0601009798 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockville Eye Center, Inc. | Optometrist | Current | Accepting new patients |
Locations
11125 Rockville Pike
Ste 303
Rockville, MD 20852
Phone (301) 231-5222
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, 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": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1942384102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 ROCKVILLE PIKE",
"address_2": "SUITE 303",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523142",
"telephone_number": "301-231-5222",
"fax_number": "301-231-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 ROCKVILLE PIKE",
"address_2": "SUITE 303",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523142",
"telephone_number": "301-231-5222",
"fax_number": "301-231-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "PEI",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601009798",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.