Wendy Uyen Bui, O.D.
Individual provider Active NPI Optometrist · Estero, FL
NPI 1770770893 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1770770893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC4266 (FL)
- Practice address
- 9500 Corkscrew Palms Cir Ste 3
Estero, FL 33928-3307 - Phone
- (239) 948-7555
- Fax
- (239) 948-8077
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Florida Professional PLLC
Practice addresses (Care Compare)
4788 Hodges Blvd
Suite 205
Jacksonville, FL 32224-7223
Phone (904) 992-9991
7051 Dr Phillips Blvd
Orlando, FL 32819-5140
Phone (407) 351-3232
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071207000239 | FL | Practitioner - Optometry | 7517056021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT13195 TPA | CA | MD | Optometrist |
| OPC4266 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Florida Professional PLLC | Optometrist | Current |
Accepting new patients |
| Coughlin Eye Center, LLC | Optometrist | Current |
Accepting new patients |
| Bay Hill Occhiali | Optometrist | Past | Accepting new patients |
Locations
4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991
5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560
7051 Dr Phillips Blvd
Ste 7
Orlando, FL 32819
Phone (407) 345-9929
7051 Dr Phillips Blvd
Ste 3
Orlando, FL 32819
Phone (407) 351-3230
7051 Dr Phillips Blvd
Orlando, FL 32819
Phone (407) 345-9929
Interoperability endpoints
- wendy.bui@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4266 | FL | Yes |
| Optometrist | 152W00000X | OPT13195 TPA | CA |
Addresses
Primary practice location
9500 Corkscrew Palms Cir Ste 3
Estero, FL 33928-3307
Mailing address
9500 Corkscrew Palms Cir Ste 3
Estero, FL 33928-3307
Phone (239) 948-7555
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.