Organization Active NPI

Union Vision Services

  • Optometrist
  • Roseville, CA
National Provider Identifier
1124120605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5798T Issued in CA
Legal business name
UNION VISION SERVICES
Practice address
2200 Professional Dr
Suite 250
Roseville, CA 95661-7763
Phone
(916) 782-8080
Fax
(916) 772-2329
NPI assigned
Sep 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James D Wu, O.D.
Title
President
Phone
(650) 315-5468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5798T CA Primary

Addresses

Primary practice location

2200 Professional Dr
Suite 250
Roseville, CA 95661-7763

Mailing address

1420 Hampshire St
San Francisco, CA 94110-4818
Phone (650) 315-5468

Other identifiers 1

IdentifierTypeStateIssuer
GSD001951MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Union Vision Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124120605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HAMPSHIRE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104818",
            "telephone_number": "650-315-5468",
            "fax_number": "415-285-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PROFESSIONAL DR",
            "address_2": "SUITE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617763",
            "telephone_number": "916-782-8080",
            "fax_number": "916-772-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION VISION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-315-5468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5798T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001951",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.