DR. EILEEN WANG (NPI# 1417154956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417154956 |
Entity Type | Individual |
Full Name | DR. EILEEN WANG |
Credential | MD |
Practice Address |
601 Professional Dr Ste 300 Lawrenceville GA 30046-7670 |
Mailing Address |
3225 Cumberland Blvd Se Ste 900 Atlanta GA 30339-5971 |
Practice Telephone | 6783231041 |
Practice Fax Number | 7709620012 |
Mailing Telephone | 4043512220 |
Mailing Fax Number | 4043525392 |
Enumeration Date | 2007-06-28 |
Last Update Date | 2019-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 081570 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE PTAN | G07712A | 01 |
GA | 003212185A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
601 Professional Dr, Lawrenceville, GA 30046 | 6783231041 | 7709620012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495239 | Eileen Wang | Pharmacist | 9009 Sw Hall Blvd, Tigard, OR 97223-4432 | 2020-10-16 |
1871131698 | Eileen Wang | Pharmacist | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2019-12-11 |
1225694896 | Eileen Cheng Wang | Student in an Organized Health Care Education/Training Program | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2019-05-19 |
1033642871 | Eileen Wang | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-04-08 |
1316346539 | Eileen Wang | Pharmacist | 2595 E Imperial Hwy, Brea, CA 92821-6106 | 2014-08-14 |
1710290192 | Eileen Wang | Allergy & Immunology | 1400 Jackson St, Denver, CO 80206-2761 | 2010-07-14 |
1518981067 | Eileen Yee Wang | Obstetrics & Gynecology | 3400 Spruce St, 2000 Courtyard Building, Philadelphia, PA 19104-4206 | 2006-07-27 |
Street Address |
601 PROFESSIONAL DR STE 300 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-7670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538412143 | Eye Care of Georgia | Ophthalmology | Eye Care of Georgia, 316 West Pike Street Ste 200, Lawrenceville, GA 30046 | 2012-10-19 |
1609005438 | Savian P. Nicholas | Ophthalmology | 20 Woodfield Ln, Lawrenceville, NJ 08648-1064 | 2009-07-14 |
1184804833 | Woolfson Eye Institute LLC | Ophthalmology | 1980 Riverside Pkwy, Suite 103, Lawrenceville, GA 30043-5943 | 2007-11-10 |
1821168428 | Chittick Optical Inc | Ophthalmology | 1213 State Street, Lawrenceville, IL 62439-2332 | 2006-11-09 |
1205887239 | Mark G Haywood | Ophthalmology | 757 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-05-15 |
1881690956 | Darmakusuma Ie | Ophthalmology | 4 Princess Rd, Ste 101, Lawrenceville, NJ 08648-2322 | 2005-06-23 |
1225031453 | Steven Paul Ellis | Ophthalmology | 123 Franklin Corner Rd, Ste 207, Lawrenceville, NJ 08648-2526 | 2005-05-23 |
1457688343 | Frederic Mallen, M.d., P.C. | Ophthalmology | 3100 Princeton Pike, Lawrenceville, NJ 08648-2300 | 2009-11-12 |
1932334968 | Lorraine Stanley Simonds | Ophthalmology | 601 Professional Dr, Suite 300, Lawrenceville, GA 30046-7698 | 2009-05-19 |
1366682072 | Jonathan Woolfson, Md PC | Ophthalmology | 1980 Riverside Pkwy, Suite 103, Lawrenceville, GA 30043-5943 | 2009-02-20 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
Please comment or provide details below to improve the information on DR. EILEEN 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.