Active NPI
Elaine L Wu, OD
- Optometrist
- Hayward, CA
National Provider Identifier
1225680242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34264TLG
- Practice address
- 299 Southland Mall
Hayward, CA 94545-2129 - Phone
- (510) 782-8911
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 34264TLG | CA | Primary |
Addresses
Primary practice location
299 Southland Mall
Hayward, CA 94545-2129
Mailing address
1577 Brunswig LN
Emeryville, CA 94608-2406
Phone (626) 560-9427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191203002980 | CA | Practitioner - Optometry | 3072946177 | Practice locations: Hayward, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34264 | CA | MD | Rehabilitation Chiropractor |
| 34264TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1225680242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 BRUNSWIG LN",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082406",
"telephone_number": "626-560-9427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 SOUTHLAND MALL",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452129",
"telephone_number": "510-782-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "ELAINE",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34264TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.