Active NPI
Richard I Wu, OD
- Optometrist
- Hillsboro, OR
National Provider Identifier
1144906462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2595T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2595 | OR | MD | Cognitive & Behavioral Psychologist |
| 2595T | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Performance of Oregon LLC | Optometrist | Current | Accepting new patients |
| Richard Wu, O.D., a Professional Corporation | Optometrist | Current | 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.
-
- Optometrist
- Hillsboro, OR
- NPI 1548946742
-
- Optometrist
- Pleasanton, CA
- NPI 1457185787
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.