Matthew Wang Od, Inc

LBN: Matthew Wang Od, Inc
Matthew Wang Od, Inc is an health care organization with primary practice located at 22 Odyssey Suite 150, Irvine CA 92618-3186. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Matthew Wang Od, Inc can be contacted via phone (949) 733-3390, or through Wang, Matthew via phone (949) 733-3390.

Contact Information

Primary practice address
22 Odyssey Suite 150 Irvine CA 92618-3186
Phone: (949) 733-3390
Fax: (949) 461-1461
Website:
Map and Directions
Authorized official contact:
Name: Wang, Matthew Doctor of Optometry (OD)
Phone: (949) 733-3390

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12376T California

Profile Details

NPI number 1659301364
LBN Legal business name Matthew Wang Od, Inc
DBA Doing business as
Authorized official Wang, Matthew Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 13th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659301364 NPPES
California MEDICAID SD012760

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