NPIMap

Organization Active NPI

Envision Optometric Eyecare Center, Inc.

Doing business as Michelle W. Wu, O.D.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1821078601
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11980T Issued in CA
Legal business name
ENVISION OPTOMETRIC EYECARE CENTER, INC.
Doing business as
Michelle W. Wu, O.D.
Practice address
655 W Duarte Rd
Suite B
Arcadia, CA 91007-7332
Phone
(626) 446-2028
NPI assigned
Jan 18, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Michelle W Wu, O.D.NPI 1730169988
Title
President
Phone
(626) 446-2028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11980T CA Primary

Addresses

Primary practice location

655 W Duarte Rd
Suite B
Arcadia, CA 91007-7332

Mailing address

655 W Duarte Rd
Suite B
Arcadia, CA 91007-7332
Phone (626) 446-2028

Other identifiers 1

IdentifierTypeStateIssuer
SD0119800MedicaidCA

Other names 1

  • Michelle W. Wu, O.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1821078601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W DUARTE RD",
            "address_2": "SUITE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077332",
            "telephone_number": "626-446-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W DUARTE RD",
            "address_2": "SUITE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077332",
            "telephone_number": "626-446-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION OPTOMETRIC EYECARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-446-2028",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11980T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle W. Wu, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.