Active NPI
Di Wu
- Optometrist
- Simpsonville, SC
National Provider Identifier
1356073860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2419
- Practice address
- 702 Fairview Rd Unit 101
Simpsonville, SC 29680-8157 - Phone
- (864) 601-7011
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0000000 | OR | |
| Optometrist | 152W00000X | 2419 | SC | Primary |
Addresses
Primary practice location
702 Fairview Rd Unit 101
Simpsonville, SC 29680-8157
Mailing address
320 Woodruff Park LN
Simpsonville, SC 29681-7269
Phone (971) 348-9008
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2419 | SC | MD | Chiropractor |
| 0000000 | OR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692489600000",
"number": "1356073860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WOODRUFF PARK LN",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296817269",
"telephone_number": "971-348-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 FAIRVIEW RD UNIT 101",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296808157",
"telephone_number": "864-601-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "DI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2023-08-20",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "0000000",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.