Dr. Wilson Phu, O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. WILSON PHU, O.D. INC.

Practice address

3345 Rosecrans St Ste B
San Diego, CA 92110-4225

Phone

(619) 539-7183

Fax

(619) 310-6956

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilson Phu, ODNPI 1538796578

Title

Optometrist

Phone

(619) 539-7183

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilson Phu, OD

  • Optometrist
  • San Diego, CA
  • NPI 1538796578
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1174131767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 ROSECRANS ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104225",
            "telephone_number": "619-539-7183",
            "fax_number": "619-310-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 ROSECRANS ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104225",
            "telephone_number": "619-539-7183",
            "fax_number": "619-310-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILSON PHU, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "PHU",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-539-7183",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Sabrina Merry, DC
• Dr. Sakya Integrative Wellness Center, Inc (North Park Acupuncture)
• Dr. Tanner J Schulze, D.C.
• Dr. Trinese Clark, a Licensed Clinical Social Worker, Inc.
• Dr. Videnne Sath, Optometry Corporation
• Dr.Keri,a Professional Corporation
• Dr.Moon Psychology Center
• Dr's Eckstein, Oleksy & Gile (Center for Oral & Facial Surgery)
• Clara Sophia Draf, MD
• David Draghinas, M.D.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.