State Street Optometry

LBN: Jeffry Wu O.D. Professional Corporation
State Street Optometry is an health care organization with primary practice located at 112 E State St , Redlands CA 92373-4756. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Jeffry Wu O.D. Professional Corporation can be contacted via phone (909) 792-2280, or through Wu, Jeffry via phone (909) 792-2280.

Contact Information

Primary practice address
112 E State St Redlands CA 92373-4756
Fax: (909) 792-4872
Website:
Authorized official contact:
Name: Wu, Jeffry Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 15020 California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 15020 California
Eye and Vision Services Providers / Pediatrics 152WP0200X 15020 California
Eye and Vision Services Providers / Occupational Vision 152WX0102X 15020 California

Profile Details

NPI number 1720591480
LBN Legal business name Jeffry Wu O.D. Professional Corporation
DBA Doing business as State Street Optometry
Authorized official Wu, Jeffry Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2017
Last updated Jul 20th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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