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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 O.D. PROFESSIONAL CORPORATION

NPI # 1720591480
LBN Legal business name JEFFRY WU O.D. PROFESSIONAL CORPORATION
Authorized official JEFFRY WU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2017
Last updated 07/20/2020 - About 6 years ago
Identifiers
CA License # 15020
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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