MICHAEL WANG (NPI# 1104820950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104820950 |
| Entity Type | Individual |
| Full Name | MICHAEL WANG |
| Credential | OD. |
| Practice Address |
9727 Elk Grove Florin Rd #190 Elk Grove CA 95624-2264 |
| Practice Telephone | 9166865165 |
| Practice Fax Number | 9166865865 |
| Mailing Telephone | 9166865165 |
| Mailing Fax Number | 9166865865 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT10004TPA | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SDO100040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171450 | Michael Wang | Occupational Therapy Assistant | 5995 Almandine Dr, Reno, NV 89523-5801 | 2020-07-16 |
| 1134483738 | Michael Kai-shin Wang | Radiology | 311 Bowie St Apt 1905, Austin, TX 78703-0062 | 2012-06-28 |
| 1184716433 | Michael Wang | Dentist | 19811 Colima Road, #510, Walnut, CA 91789 | 2006-09-28 |
| 1306847447 | Michael Y Wang | Family Medicine | 1735 Sw Health Pkwy Ste 201, Naples, FL 34109-0421 | 2005-08-10 |
| 1497751473 | Michael Chun Wang | Chiropractor | 1260 Hamner Ave, Suite E, Norco, CA 92860-3136 | 2005-06-23 |
| 1215556204 | Michael Wang | Student in an Organized Health Care Education/Training Program | 42 W Warren Ave, Detroit, MI 48201-1347 | 2020-04-10 |
| 1699326108 | Michael Wang | Nurse Practitioner | 1850 Sullivan Ave, Daly City, CA 94015-2221 | 2019-09-25 |
| 1336613512 | Michael Wang | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-01-21 |
| 1639696842 | Michael Chen Wang | Student in an Organized Health Care Education/Training Program | 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2017-08-28 |
| 1922522721 | Michael Wang | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2017-08-02 |
| Street Address |
9727 ELK GROVE FLORIN RD #190 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051181 | Theodore Javelosa Celeste | Massage Therapist | 9727 Elk Grove Florin Rd, Suite 290, Elk Grove, CA 95624-2264 | 2017-02-09 |
| 1508276460 | Matthew August Sandretti | Dentist | 9727 Elk Grove Florin Rd, Elk Grove, CA 95624-2264 | 2014-04-30 |
| 1578991832 | Jason Sazama | Specialist/Technologist, Other | 9727 Elk Grove Florin Rd, Suite 160, Elk Grove, CA 95624-2264 | 2013-10-24 |
| 1669800116 | Axg Sleep Diagnostics LLC | Clinic/Center | 9727 Elk Grove Florin Rd, Suite 160, Elk Grove, CA 95624-2264 | 2013-10-20 |
| 1407183593 | El Hadi Mouderres Md Inc | Psychiatry & Neurology | 9727 Elk Grove Florin Rd, Suite 120, Elk Grove, CA 95624-2291 | 2009-11-10 |
| 1972656767 | Donald Paul Rollofson | Dentist | 9727 Elk Grove Florin Rd, 280, Elk Grove, CA 95624-2264 | 2007-01-18 |
| 1235280793 | Allan R Au Md Inc | Allergy & Immunology | 9727 Elk Grove Florin Rd, Suite 180, Elk Grove, CA 95624-2264 | 2007-01-12 |
| 1619040128 | Michael David Moore | Dentist | 9727 Elk Grove Florin Rd, Suite 115, Elk Grove, CA 95624-2264 | 2006-11-15 |
| 1770653404 | Roger J. Reich D.d.s. Inc. | Dentist | 9727 Elk Grove Florin Rd, Suite 270, Elk Grove, CA 95624-2264 | 2006-11-09 |
| 1962599118 | Elk Grove Family Physicians Medical Group Inc | Family Medicine | 9727 Elk Grove Florin Rd, Ste. 140, Elk Grove, CA 95624-2264 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356804 | Aubrey L Vetrone | Optometrist | 8840 Napton Way, Elk Grove, CA 95624-5226 | 2020-08-10 |
| 1356959258 | Monica Nguyen | Optometrist | 8414 Patmon Dr, Elk Grove, CA 95624-4106 | 2020-07-16 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1205305547 | Quyen The Truong | Optometrist | 8511 Tambor Way, Elk Grove, CA 95758-7217 | 2018-11-15 |
| 1952877102 | Wang Optometry | Optometrist | 9727 Elk Grove Florin Rd Ste 190, Elk Grove, CA 95624-2267 | 2018-10-15 |
| 1336523299 | Maggie Wong | Optometrist | 8246 Laguna Blvd Ste 300, Elk Grove, CA 95758-7972 | 2015-07-10 |
| 1801288717 | Harissa Andrea Michael | Optometrist | 3924 Babson Dr, Elk Grove, CA 95758-4579 | 2015-03-02 |
| 1033444112 | Amrita Singh Kaler | Optometrist | 8419 Elk Grove Florin Rd, Elk Grove, CA 95624-9518 | 2009-10-07 |
| 1649409996 | Thanh Tu Trinh I | Optometrist | 7119 Elk Grove Blvd, Suite 123, Elk Grove, CA 95758-9568 | 2009-07-08 |
| 1851425110 | May Chau Chan | Optometrist | 9684 Coney Island Cir, Elk Grove, CA 95758-3650 | 2007-03-16 |
| Find all providers in ELK GROVE | ||||
Please comment or provide details below to improve the information on MICHAEL WANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.