Jennifer Lee Wu, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A117309 Issued in CA

Practice address

3033 Bristol St Unit 123
Costa Mesa, CA 92626-3091

Phone

(949) 208-9090

Fax

(949) 546-1141

NPI assigned

Apr 13, 2009

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer C. Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 24, 2022 through Oct 24, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cho & Chun Optometry, Inc

  • Corneal and Contact Management Optometrist
  • Costa Mesa, CA
  • NPI 1912597915
  NPD

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144463761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 BRISTOL ST UNIT 123",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263091",
            "telephone_number": "949-208-9090",
            "fax_number": "949-546-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 BRISTOL ST UNIT 123",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263091",
            "telephone_number": "949-208-9090",
            "fax_number": "949-546-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "30583",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A117309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEE",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitland Raquel Woolsey
• Sylvia Louise Worden, NP
• Xia Alexis Workman
• Therese Louise Wright, NP
• Christopher Wu
• Jordan Wu
• Vanessa Yu-Wen Wu, M.D.
• Sarah Elizabeth Wuu, LCSW
• Gary L Wyatt, DDS
• Iva Franziska Wynne, DIPLOMA

• Ophthalmology Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.