Individual
DI WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 FAIRVIEW RD UNIT 101, SIMPSONVILLE, SC 29680-8157
(864) 601-7011
Mailing address
320 WOODRUFF PARK LN, SIMPSONVILLE, SC 29681-7269
(971) 348-9008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2419
SC
390200000X
Student in an Organized Health Care Education/Training Program
0000000
OR
Other
Enumeration date
06/24/2022
Last updated
08/20/2023
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