Individual provider Active NPI

Kun Nancy Wu, OD

  • Optometrist
  • Lancaster, MA
National Provider Identifier
1184008187
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5111 Issued in MA
Practice address
479 Old Union Tpke
Lancaster, MA 01523-3029
Phone
(978) 537-3900
Fax
(978) 537-6030
NPI assigned
Jul 20, 2015
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5111 MA Primary

Addresses

Primary practice location

479 Old Union Tpke
Lancaster, MA 01523-3029

Mailing address

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 537-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150909001424 MA Practitioner - Optometry 8426365313 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians
New England Eye Institute IncGroup PAC ID 1850294125, 23 clinicians

Practice addresses (Care Compare)

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

930 Commonwealth Ave
Boston, MA 02215-1220
Phone (617) 262-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5111MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Community Health Connections, Inc. CurrentSince Jul 12, 2016 Accepting new patients
Lexington Eye Associates, Inc CurrentSince Sep 1, 2024 Accepting new patients
D'Ambrosio Eye Care, Inc. Optometrist CurrentSince Jun 22, 2015 Accepting new patients
Emerson Hospital Current Accepting new patients
D'Ambrosio Eye Care, Inc. CurrentSince Jun 22, 2015 Accepting new patients
Community Health Connections, Inc. CurrentSince Jul 12, 2016 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince May 1, 2024 Accepting new patients
Lexington Eye Associates - Bid CurrentSince Sep 1, 2024 Accepting new patients
D'Ambrosio Eye Care, Inc. Optometrist Current Accepting new patients

Locations

100 Powdermill Rd
Acton, MA 01720
Phone (978) 897-1600

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

479 Old Union Tpke
Lancaster, MA 01523
Phone (978) 537-3900

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

Interoperability endpoints

  • Direct secure messaging: nancy.wu.d1.p1@direct.chcfhc.nextgenshare.com
  • Direct secure messaging: nancy.wu.p1@direct.chcfhc.nextgenshare.com
  • Direct secure messaging: wu.kun.epho@direct.partners.masshiway.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1184008187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KUN",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.