Individual
DR. JEFFRY WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112 E STATE ST, REDLANDS, CA 92373-4756
(909) 792-2280
(909) 792-4872
Mailing address
112 E STATE ST, REDLANDS, CA 92373-4756
(909) 792-2280
(909) 792-4872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15020
CA
152WC0802X
Corneal and Contact Management Optometrist
15020
CA
152WP0200X
Pediatric Optometrist
15020
CA
152WX0102X
Occupational Vision Optometrist
15020
CA
Other
Enumeration date
07/02/2014
Last updated
07/20/2020
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