Nancy Park Wu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12473TG Issued in CA

Practice address

1275 Airport Park Blvd
Ukiah, CA 95482-7400

Phone

(707) 313-8019

Fax

(707) 313-8018

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nancy Park Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nancy Park OD, IncGroup PAC ID 2163877200, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nancy Park OD, Inc

  • Optometrist
  • Ukiah, CA
  • NPI 1275319485
  Medicare reassignment Care Compare group NPD Authorized official
• Craig Van Woerkom, O.D., a.P.C.

  • Optometrist
  • Pasadena, CA
  • NPI 1225170434
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1821067505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22735 SPARROWDELL DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021818",
            "telephone_number": "310-430-0586",
            "fax_number": "707-313-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 AIRPORT PARK BLVD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954827400",
            "telephone_number": "707-313-8019",
            "fax_number": "707-313-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "NANCY",
        "middle_name": "PARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12473TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PARK",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Wood
• Alice Woods
• Linda Faye Wootton
• Anny T Wu, D.O.
• Mack Wu, DO
• Xiaojie Wu
• Melissa Wuoltee
• Eric Wyant
• Carolyn Marie Wyatt, WHNP
• Amy Wyse

• Optometrist in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.