Individual provider Active NPI

Richard I Wu, OD

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1144906462
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2595T Issued in OR
Practice address
7129 NE Imbrie Dr
Hillsboro, OR 97124-7594
Phone
(503) 690-2020
NPI assigned
Jun 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2595T OR Primary

Addresses

Primary practice location

7129 NE Imbrie Dr
Hillsboro, OR 97124-7594

Mailing address

1167 33Rd Ave
Forest Grove, OR 97116-2586
Phone (415) 200-7219

Other names 1

  • Dr. Richard I. Tsung Wu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240109002136 OR Practitioner - Optometry 9335596097 Reassigns benefits to 1 organization
I20241105003621 CA Practitioner - Optometry 9335596097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2595ORMDCognitive & Behavioral Psychologist
2595TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Performance of Oregon LLC Optometrist CurrentSince Oct 2, 2023 Accepting new patients
Richard Wu, O.D., a Professional Corporation Optometrist CurrentSince Oct 1, 2024 Accepting new patients

Locations

4299 Rosewood Dr
Unit 105
Pleasanton, CA 94588
Phone (925) 416-1888

15251 E 14th St
#B
San Leandro, CA 94578
Phone (510) 481-2121

7129 NE Imbrie Dr
Hillsboro, OR 97124
Phone (503) 690-2020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1144906462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 33RD AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162586",
            "telephone_number": "415-200-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7129 NE IMBRIE DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247594",
            "telephone_number": "503-690-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "RICHARD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2595T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "WU",
            "middle_name": "I. TSUNG",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.