Jackie H Wu

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007175 Issued in NY

Practice address

1657 Bath Ave
Brooklyn, NY 11214-4509

Phone

(718) 331-1491

Fax

(718) 331-1491

NPI assigned

Mar 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Praise Eye Care OD PLLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1518230820
  NPD (past)
• Praise Eye Care, OD PLLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1073768529
  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1205077526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144509",
            "telephone_number": "718-331-1491",
            "fax_number": "718-331-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144509",
            "telephone_number": "718-331-1491",
            "fax_number": "718-331-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JACKIE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hongbo Wu
• Hue Ching Stephanie Wu
• Hui Wu
• Idy S Wu, O.D.
• Irene Wu, PHARMD
• Janice Wu
• Janice Wu, RPH
• Jason Wu
• Jason Wu
• Jason Jingshi Wu, MD

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.