Poplar Spectacles Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 11981 TLG Issued in CA

Legal business name

POPLAR SPECTACLES OPTOMETRY, INC.

Practice address

215 Alamo PLZ
Suite D
Alamo, CA 94507-1531

Phone

(925) 202-2846

Fax

(925) 242-1243

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Shelley M Wu, ODNPI 1942353263

Title

President

Phone

(925) 202-2846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Mingwen Wu, O.D.

  • Optometrist
  • Alamo, CA
  • NPI 1942353263

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Beverly Jue Smith, OD, MS, MBA, CPNP

  • Optometrist
  • Alamo, CA
  • NPI 1114918802
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1194121269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ALAMO PLZ",
            "address_2": "SUITE D",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071531",
            "telephone_number": "925-202-2846",
            "fax_number": "925-242-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ALAMO PLZ",
            "address_2": "SUITE D",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071531",
            "telephone_number": "925-202-2846",
            "fax_number": "925-242-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR SPECTACLES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-202-2846",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11981 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L. Palmer, MD
• Allan Garcia Paloma, RDCS
• Belinda Paz
• Kenneth R. Pelletier, PHD, MD(HC)
• Nhu Q Pham, M.D.
• Connie Jung Pyon, PHAM D
• Sheila Louise Raumer, MD
• James Mervin Rodriguez, DDS
• Lea Karlla Bernabe Rubio
• Samamesh LLC

• All providers in Alamo, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.