Active NPI
Edwin Wu, O.D.
- Optometrist
- Covina, CA
National Provider Identifier
1326350257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13985
- Practice address
- 911 N Grand Ave
Covina, CA 91724-2046 - Phone
- (626) 967-3794
- Fax
- (626) 967-8404
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 13985 | CA | Primary |
Addresses
Primary practice location
911 N Grand Ave
Covina, CA 91724-2046
Mailing address
911 N Grand Ave
Covina, CA 91724-2046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13985 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covina Eyecare Optometry Inc. | Optometrist | Current | Accepting new patients |
Locations
911 N Grand Ave
Covina, CA 91724
Phone (626) 967-3794
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509062400000",
"number": "1326350257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917242046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917242046",
"telephone_number": "626-967-3794",
"fax_number": "626-967-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2017-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.