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Contact Information

JEFFRY WU O.D. PROFESSIONAL CORPORATION
112 E STATE ST
REDLANDS, CA92373-4756
 Phone: 909-792-2280
 Fax: 909-792-4872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFRY WU OD PROFESSIONAL CORPORATION · (Female)

NPI # 1720591480
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2017
Last updated 07/20/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 15020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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