Jeffry Wu O.D. Professional Corporation
NPI 1720591480ActiveOrganization· Optometrist· Redlands, CA
Optometrist in Redlands, California, registered in NPPES in November 2017. The authorized official on file is Jeffry Wu, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720591480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2017 |
| Last updated in NPPES | Jul 20, 2020 |
| Certified by provider | Jul 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 15020 | CA |
| Optometrist, Corneal and Contact Management | 152WC0802X | 15020 | CA |
| Optometrist, Pediatrics | 152WP0200X | 15020 | CA |
| Optometrist, Occupational Vision | 152WX0102X | 15020 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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