Provider Demographics
NPI:1154445591
Name:WANG VISION INSTITUTE, PLLC
Entity Type:Organization
Organization Name:WANG VISION INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MING
Authorized Official - Middle Name:X
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-321-8881
Mailing Address - Street 1:1801 W END AVE STE 1150
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2528
Mailing Address - Country:US
Mailing Address - Phone:615-321-8881
Mailing Address - Fax:615-321-8874
Practice Address - Street 1:1801 W END AVE STE 1150
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2528
Practice Address - Country:US
Practice Address - Phone:615-321-8881
Practice Address - Fax:615-321-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29188207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G54030Medicare UPIN