Idoctorben LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002212 Issued in VA

Legal business name

IDOCTORBEN LLC

Practice address

4069 Postal Dr
#20902
Roanoke, VA 24018-6429

Phone

(540) 892-4850

NPI assigned

Apr 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Bin Wang, OD

Title

Optometrist

Phone

(540) 892-4850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1952755878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20902",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 POSTAL DR",
            "address_2": "#20902",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186429",
            "telephone_number": "540-892-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDOCTORBEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "BIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "540-892-4850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Leah Huttinger
• Alyssa Hyduke
• Stephanie Alejandra Hylton, LCSW
• Anne K Ickes, DO
• Michelle Ann Ickes, PH.D.
• Susanti Rahaju Ie, MD
• Obafemi Ayoola Ifelowo, MD
• Ignite Wellness Clinic PLLC
• Emeka Ikeakanam, DO
• Image Guided Pain Management, P.C.

• Optometrist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.