Individual provider Active NPI

Shelley Mingwen Wu, O.D.

  • Optometrist
  • Alamo, CA
National Provider Identifier
1942353263
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11981TPA Issued in CA
Practice address
215 Alamo PLZ
#D
Alamo, CA 94507-1531
Phone
(925) 202-2846
NPI assigned
Jan 19, 2007
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT11981TPA CA Primary

Addresses

Primary practice location

215 Alamo PLZ
#D
Alamo, CA 94507-1531

Mailing address

215 Alamo PLZ
#D
Alamo, CA 94507-1531
Phone (925) 202-2846

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090904000203 CA Practitioner - Optometry 0345395802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 Danville Blvd
Suite I
Alamo, CA 94507-1572
Phone (925) 202-2846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT11981TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Spectacles Optometry, Inc. Optometrist CurrentSince Sep 13, 2014 Accepting new patients
Site for Sight Optometry, Inc. Optometrist PastSince Sep 5, 2023 Accepting new patients

Locations

215 Alamo Plz
Ste D
Alamo, CA 94507
Phone (925) 202-2846

3000 Danville Blvd
Ste I
Alamo, CA 94507
Phone (925) 202-2846

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1942353263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ALAMO PLZ",
            "address_2": "#D",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071531",
            "telephone_number": "925-202-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ALAMO PLZ",
            "address_2": "#D",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071531",
            "telephone_number": "925-202-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SHELLEY",
        "middle_name": "MINGWEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11981TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, CA

Sources for this page

Verify at the official NPI Registry.