STATE STREET OPTOMETRY
NPI 1720591480
Optometrist in Redlands, CA

Active since November 15, 2017
112 E STATE ST, REDLANDS, CA 92373(909) 792-2280(909) 792-4872 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2020, Nov 15, 2017 (2 updates tracked since 2017).

About State Street Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE STREET OPTOMETRY (NPI 1720591480) is a healthcare organization registered as an optometrist in Redlands, California and active in the NPI registry since November 2017. The organization lists Jeffry Wu, President, as its authorized official.

NPPES Registry Identity

NPI1720591480
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJEFFRY WU O.D. PROFESSIONAL CORPORATION
Location Address112 E STATE STRedlands, CA 92373-4756
Mailing Address112 E State StRedlands, CA 92373-4756 · (909) 792-2280 · Fax (909) 792-4872
Fax(909) 792-4872
Organization SubpartNo
Authorized OfficialJeffry WuPresident · (909) 792-2280
Enumeration DateNovember 15, 2017
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1720591480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 15020
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 15020 (CA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 15020 (CA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 15020 (CA)
112 E STATE ST, Redlands, CA 92373

Other Names 1

Doing Business AsState Street Optometry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
112 E STATE ST
REDLANDS, CA 92373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffry Wu O.D. Professional Corporation's NPI number?

The NPI number for Jeffry Wu O.D. Professional Corporation is 1720591480. It was assigned to this organization in the NPPES registry on November 15, 2017. The provider is doing business as State Street Optometry.

Where is Jeffry Wu O.D. Professional Corporation located?

Jeffry Wu O.D. Professional Corporation is located at 112 E State St, Redlands, CA 92373. The listed phone number is (909) 792-2280.

What is Jeffry Wu O.D. Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Jeffry Wu O.D. Professional Corporation accept?

Health plans from BlueCross BlueShield of Tennessee list Jeffry Wu O.D. Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffry Wu O.D. Professional Corporation was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.