Organization
ENVISION OPTOMETRIC EYECARE CENTER, INC.
Active
Other names
Michelle W. Wu, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE W WU O.D. (PRESIDENT)
(626) 446-2028
Entity
Organization
Contact information
Practice address
655 W DUARTE RD, SUITE B, ARCADIA, CA 91007-7332
(626) 446-2028
Mailing address
655 W DUARTE RD, SUITE B, ARCADIA, CA 91007-7332
(626) 446-2028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11980T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0119800
—
CA
Enumeration date
01/18/2006
Last updated
04/09/2008
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