ANGELINA WENG (OD) – Student in an Organized Health Care Education/Training Program, NPI 1104675131

ANGELINA WENG (OD) is a healthcare provider. based in Bedford, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. The NPI Number for ANGELINA WENG (OD) is 1104675131

Main info

Female
2 Years Of Experience
Name
ANGELINA WENG (OD)
NPI
1104675131
Phone
Not provided
Address
200 SPRINGS RD
Enumeration Date
13 May 2024
Last Update Date
8 March 2026

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7818621620
Graduation Year
2024 (2 years ago)
PAC ID
9234658493
Group Practice PAC ID
8820315682
Professional Enrollment ID
I20250521002364
Address ID
MA024214835LE21XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:2State licenses:0Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for ANGELINA WENG (OD)

  • 200 SPRINGS RD

    BEDFORD, MA 017301114

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250521002364IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820315682View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P H T H A L M O L O G YNC
O P T O M E T R YMA
-MA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA

Reviews

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Frequently asked questions

Where can patients find ANGELINA WENG (OD)'s NPI?
You can confirm ANGELINA WENG (OD) with NPI 1104675131; it appears in the national provider directory.
Is ANGELINA WENG (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANGELINA WENG (OD)?
The page reflects Student in an Organized Health Care Education/Training Program for ANGELINA WENG (OD). Clinical services aligned with this taxonomy classification.
Does ANGELINA WENG (OD) practice in Massachusetts?
You will see Bedford, Massachusetts on file for ANGELINA WENG (OD) alongside any extra practice locations.
What if Bedford, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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