Sandra Wu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009726 Issued in IL

Practice address

618 S Route 59
Suite 118
Naperville, IL 60540-0937

Phone

(630) 355-1269

Fax

(630) 355-1295

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Le Vision Inc.

  • Optometrist
  • Yorkville, IL
  • NPI 1891934220

  IL, Optometrist

  Medicare reassignment NPD
• Special Eyes

  • Optometrist
  • Arlington Heights, IL
  • NPI 1508028804
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1295873271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S ROUTE 59",
            "address_2": "SUITE 118",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S ROUTE 59",
            "address_2": "SUITE 118",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400937",
            "telephone_number": "630-355-1269",
            "fax_number": "630-355-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IL 9726",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladonna D Wright, P.A. - C
• Mark Douglas Wright, DMD
• WSKC Dialysis Services, Inc.
• WSSH Encore Preakness, LLC
• WSSH Powerback Rehabilitation Services, LLC
• Xuemei Wu, D.C.
• Paul Ryan Wucka, D.O.
• Nicole Wuerl, LCPC
• Alyssa Wunderlich
• John Michael Wunderlich, APN-CNP

• All providers in Naperville, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.

Verify at the official NPI Registry.