Derrick En-Pei Woo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11781TLG Issued in CA

Practice address

5532 Woodruff Ave
Lakewood, CA 90713-1535

Phone

(562) 867-2020

Fax

(562) 867-6100

NPI assigned

Aug 3, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Southern California College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Vision Care, Optometric Services, Inc.

  • Optometrist
  • Lakewood, CA
  • NPI 1780080994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831106491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 WOODRUFF AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131535",
            "telephone_number": "562-867-2020",
            "fax_number": "562-867-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 WOODRUFF AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131535",
            "telephone_number": "562-867-2020",
            "fax_number": "562-867-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "DERRICK",
        "middle_name": "EN-PEI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11781TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD117810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VAP",
            "identifier": "026308745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ford Witman
• Won Acupuncture & Healing Inc
• Connie Jen Wong
• Judy Wong, OD
• Milton Henry Wong, RN, ADN, BSN
• Raymond C Woo, PHARM D
• Melinda Woolen
• Woosung Ahn, M.D., Inc
• Wtu Fitness and Post Rehabilitation Center
• Hao Wu, D.P.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.