NPIMap

Organization Active NPI

Pamela I. Wu O.D. Inc.

Doing business as Spectrum Optometry

  • Optometrist
  • Irvine, CA
National Provider Identifier
1235207127
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10925T Issued in CA
Legal business name
PAMELA I. WU O.D. INC.
Doing business as
Spectrum Optometry
Practice address
5414 Walnut Ave Ste B
Irvine, CA 92604-2522
Phone
(949) 262-9393
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Dr. Pamela Wu, ODNPI 1780666156
Title
President
Phone
(949) 262-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 10925T CA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 10925T CA
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X 10925T CA
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 10925T CA

Addresses

Primary practice location

5414 Walnut Ave Ste B
Irvine, CA 92604-2522

Mailing address

5414 Walnut Ave
Suite B
Irvine, CA 92604-2520

Other identifiers 1

IdentifierTypeStateIssuer
SD0109250MedicaidCA

Other names 1

  • Spectrum Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000599 CA Part B Supplier - Clinic/Group Practice 5890848485 Receives reassigned benefits from 4 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

5414 Walnut Ave
Ste B
Irvine, CA 92604
Phone (949) 262-9393

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1235207127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 WALNUT AVE",
            "address_2": "SUITE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 WALNUT AVE STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042522",
            "telephone_number": "949-262-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA I. WU O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-262-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10925T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10925T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10925T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "10925T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0109250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.