Individual provider Active NPI

Deborah R Wu, MD

  • Ophthalmology Physician
  • Ludington, MI
National Provider Identifier
1760698245
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301085686 Issued in MI
Practice address
5959 Lawndale St
Ludington, MI 49431-2921
Phone
(231) 845-6261
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301085686 MI Primary

Addresses

Primary practice location

5959 Lawndale St
Ludington, MI 49431-2921

Mailing address

850 W North St
Ste 104
Jackson, MI 49202-3196
Phone (517) 841-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000292 MI Practitioner - Ophthalmology 1557414000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Ophthalmology PLLCGroup PAC ID 3678537628, 14 clinicians

Practice addresses (Care Compare)

1266 E Sherman Blvd
Muskegon, MI 49444-1847
Phone (231) 739-9009

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Ophthalmology, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Shoreline Ophthalmology, PLLC Ophthalmology Current Accepting new patients
Shoreline Ophthalmology, PLLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Mid Michigan Eye Care Center, PC Ophthalmology CurrentSince Aug 3, 2020 Accepting new patients
Shoreline Optical, LLC Ophthalmology Past Accepting new patients

Locations

363 Fremont St
Ste 301
Battle Creek, MI 49017
Phone (616) 964-3018

1401 W Main St
Ste 101
Fremont, MI 49412
Phone (231) 739-9009

1445 Sheldon Rd
Ste 100
Grand Haven, MI 49417
Phone (231) 739-9009

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436

4016 W Main St
Kalamazoo, MI 49006
Phone (269) 344-3366

1266 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 737-4727

301 Center St
North Muskegon, MI 49445
Phone (231) 739-9009

3375 McCracken St
Norton Shores, MI 49441
Phone (231) 739-9009

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

3601 W 13 Mile Rd
Royal Oak, MI 48073

625 E Savidge St
Spring Lake, MI 49456
Phone (616) 844-5650

Interoperability endpoints

  • Direct secure messaging: dwu1@shorelinevision.imwdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1760698245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST",
            "address_2": "STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "517-841-3022",
            "fax_number": "517-817-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312921",
            "telephone_number": "231-845-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301085686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.