Organization Active NPI

Lucy Wun OD, Inc

Doing business as Silicon Valley Optometry Center

  • Optometrist
  • Cupertino, CA
National Provider Identifier
1740629294
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11325T Issued in CA
Legal business name
LUCY WUN OD, INC
Doing business as
Silicon Valley Optometry Center
Practice address
10525 S de Anza Blvd
Suite 190
Cupertino, CA 95014-4456
Phone
(408) 725-1900
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Lucy Liu
Title
Optometrist
Phone
(408) 725-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11325T CA Primary

Addresses

Primary practice location

10525 S de Anza Blvd
Suite 190
Cupertino, CA 95014-4456

Mailing address

10525 S de Anza Blvd
Suite 190
Cupertino, CA 95014-4456
Phone (408) 725-1900

Other names 1

  • Silicon Valley Optometry Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305000790 CA Part B Supplier - Clinic/Group Practice 1254561681 Receives reassigned benefits from 3 practitioners
Practice locations: Cupertino, CA

National Provider Directory

National Provider Directory

Locations

10525 S De Anza Blvd
Ste 1
Cupertino, CA 95014
Phone (408) 725-1900

10525 S De Anza Blvd
Ste 190
Cupertino, CA 95014
Phone (408) 725-1900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1740629294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 S DE ANZA BLVD",
            "address_2": "SUITE 190",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144456",
            "telephone_number": "408-725-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 S DE ANZA BLVD",
            "address_2": "SUITE 190",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144456",
            "telephone_number": "408-725-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCY WUN OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-725-1900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11325T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silicon Valley Optometry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.