Individual provider Active NPI

Peter Xihua Wu, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1780106492
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60769332 Issued in WA
Practice address
2715 California Ave SW Apt 110a
Seattle, WA 98116-2563
Phone
(206) 817-8892
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60769332 WA Primary

Addresses

Primary practice location

2715 California Ave SW Apt 110a
Seattle, WA 98116-2563

Mailing address

5023 E Mercer Way
Mercer Island, WA 98040-4739
Phone (206) 817-8892

Other practice location 1

1801 10th Ave NW
Issaquah, WA 98027-5384
Phone (425) 369-6726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230803003588 WA Practitioner - Optometry 9133580301 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
XPW Vision PLLC Optometrist CurrentSince Jul 14, 2023 Accepting new patients
West Seattle Vision Clinic PLLC Optometrist CurrentSince Jun 15, 2024 Accepting new patients
Michael H Chow & Associates PLLC Optometrist CurrentSince Nov 6, 2024 Accepting new patients

Locations

7084 Lakeland Hills Way SE
Ste 101
Auburn, WA 98092
Phone (253) 351-0092

6505 California Ave SW
#101
Seattle, WA 98136
Phone (206) 829-9688

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1780106492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 E MERCER WAY",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404739",
            "telephone_number": "206-817-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 CALIFORNIA AVE SW APT 110A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162563",
            "telephone_number": "206-817-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 10th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275384",
            "country_code": "US",
            "telephone_number": "425-369-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "PETER",
        "middle_name": "XIHUA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2023-08-30",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60769332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.