Individual provider Active NPI

Kevin Yunjon Wu, OD

  • Optometrist
  • Sunnyvale, CA
National Provider Identifier
1396221172
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34003 Issued in CA
Practice address
1010 W Fremont Ave
Sunnyvale, CA 94087-3000
Phone
(408) 739-6200
NPI assigned
Jul 16, 2018
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34003 CA Primary

Addresses

Primary practice location

1010 W Fremont Ave
Sunnyvale, CA 94087-3000

Mailing address

1842 Lavender CRK
San Jose, CA 95120-5033

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911003970 CA Practitioner - Optometry 7113277229 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson and Mark Optometric CorporationGroup PAC ID 0244607562, 8 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1010 W Fremont Ave
Suite 200
Sunnyvale, CA 94087-3019
Phone 4087396200120

1085 W El Camino Real
Sunnyvale, CA 94087-1030
Phone (408) 524-5900

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as group
Quality
87.64
Promoting interoperability
100
Improvement activities
40
Cost
73.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34003CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Amplify Physicians of California PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Silicon Valley Eye Physicians CurrentSince Jul 26, 2018 Accepting new patients
John a Van Every OD Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 21, 2024 Accepting new patients
Craig Fellers OD Inc Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Amplify Physicians of California PC CurrentSince Jul 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 21, 2024 Accepting new patients
Mendelson & Mark Optometric Corporation Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 Water St
Ste J5
Santa Cruz, CA 95060
Phone (831) 426-7172

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

1010 W Fremont Ave
Ste 200
Sunnyvale, CA 94087
Phone (408) 739-6200

1010 W Fremont Ave
Ste 400
Sunnyvale, CA 94087

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: kwu692750@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1396221172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 LAVENDER CRK",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951205033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873000",
            "telephone_number": "408-739-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KEVIN",
        "middle_name": "YUNJON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.