NPIMap

Organization Active NPI

Covina Eyecare Optometry Inc

Doing business as Edwin Wu, O.D.

  • Optometrist
  • Covina, CA
National Provider Identifier
1528188448
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13985 TPG Issued in CA
Legal business name
COVINA EYECARE OPTOMETRY INC
Doing business as
Edwin Wu, O.D.
Raymond Wu, O.D.
Practice address
911 N Grand Ave
Covina, CA 91724-2046
Phone
(626) 967-3794
Fax
(626) 967-8404
NPI assigned
Apr 2, 2007
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Edwin Wu, ODNPI 1326350257
Title
President
Phone
(626) 967-3794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 13985 TPG CA Primary

Addresses

Primary practice location

911 N Grand Ave
Covina, CA 91724-2046

Mailing address

911 N Grand Ave
Covina, CA 91724-2046
Phone (626) 967-3794

Other identifiers 1

IdentifierTypeStateIssuer
SD0070980MedicaidCA

Other names 2

  • Edwin Wu, O.D. Doing business as
  • Raymond Wu, O.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1528188448",
    "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",
            "telephone_number": "626-967-3794",
            "fax_number": "626-967-8404"
        },
        {
            "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": {
        "organization_name": "COVINA EYECARE OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-967-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13985 TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin Wu, O.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raymond Wu, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.