MEDICARE: DR. MATTHEW MAOYOU WEN O.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	008484	NY

General Provider Information

NPI Number	:	1407207517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW MAOYOU WEN O.D

Provider Business Mailing Address
First Line	:	160 WORSTER DR
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-5004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5105 KINGS PLZ
Second Line	:	STORE #459
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5218
Country	:	US
Telephone Number	:	774-253-7810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	06/29/2016

Similar Medicare Providers

1407920598 — JLS OPTICAL CORP.
Practice Location Address:

5171 KINGS PLZ
BROOKLYN, NY
11234-5218

Practice Phone: 718-951-9800
Practice Fax: 718-252-3736

1619020120 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

5105 KINGS PLZ SPC 220
BROOKLYN, NY
11234-5218

Practice Phone: 718-338-9494
Practice Fax:

1215053368 — LESLIE BLAINE O.D.
Practice Location Address:

5171 KINGS PLZ
BROOKLYN, NY
11234-5218

Practice Phone: 718-951-9800
Practice Fax:

1669685392 — CONTACT LENS & VISION CONSULTANTS, INC
Practice Location Address:

5105 KINGS PLZ
BROOKLYN, NY
11234-5218

Practice Phone: 718-252-8333
Practice Fax: 718-377-7847

1790297638 — NAGWA IBRAHIM OD
Practice Location Address:

5171 KINGS PLZ
BROOKLYN, NY
11234-5218

Practice Phone: 718-951-9800
Practice Fax: 718-252-3736

1124613195 — KINGS PLAZA VISION EXPRESS LLC
Practice Location Address:

5171 KINGS PLZ
BROOKLYN, NY
11234-5218

Practice Phone: 718-951-9800
Practice Fax: 718-252-3736

Directions to “ DR. MATTHEW MAOYOU WEN O.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.