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ADVANCED VISION OPTOMETRY
NPI 1790200624
Optometrist in Santa Rosa, CA

Active since August 11, 2017
2655 CLEVELAND AVE STE A, SANTA ROSA, CA 95403(707) 542-8883(707) 546-7787 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2019, Aug 28, 2019, Aug 11, 2017 (3 updates tracked since 2017).

About Advanced Vision Optometry NPPES

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

ADVANCED VISION OPTOMETRY (NPI 1790200624) is a healthcare organization registered as an optometrist in Santa Rosa, California and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Palo Alto and lists Erica Wu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790200624
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameADVANCED VISION GROUP, INC.
Location Address2655 CLEVELAND AVE STE ASanta Rosa, CA 95403-2779
Mailing Address2655 Cleveland Ave Ste ASanta Rosa, CA 95403-2779 · (707) 542-8883 · Fax (707) 546-7787
Phone(707) 542-8883
Fax(707) 546-7787
Organization SubpartNo
Authorized OfficialErica WuCeo · (530) 902-0271
Enumeration DateAugust 11, 2017
Last NPPES UpdateSeptember 25, 20193 updates tracked since enumeration
✔ NPI 1790200624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 14545
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.
2655 CLEVELAND AVE STE A, Santa Rosa, CA 95403
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Other Names 2

Doing Business AsAdvanced Vision Optometry
Doing Business AsDr. Erica Wu Optometry

Secondary Practice Location 1

Location 1479 University AvePalo Alto, CA 94301-1814 · Phone (650) 327-2020 · Fax (650) 327-2039

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Vision Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Vision Optometry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jon Fitzpatrick, O.D.
Optometry
NPI 1356330278
2655 CLEVELAND AVE STE A
Santa Rosa, CA 95403
(707) 545-7350
✔ PECOS✔ Accepts MedicareSame address
Erica Wu, O.D.
Optometry
NPI 1912241761
2655 CLEVELAND AVE STE A
Santa Rosa, CA 95403
(707) 542-8883
✔ PECOS✔ Accepts MedicareSame address
Linda Vang, OD
Optometry
NPI 1912748575
2451 SUMMERFIELD RD
Santa Rosa, CA 95405
(707) 526-4050
✔ PECOS3.9 mi
Paula Shadid, O.D.
Optometry
NPI 1447399662
987 GOLF COURSE DR
Rohnert Park, CA 94928
(707) 584-1233
✔ PECOS7.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Vision Group, Inc.'s NPI number?

The NPI number for Advanced Vision Group, Inc. is 1790200624. It was assigned to this organization in the NPPES registry on August 11, 2017. The provider is doing business as Advanced Vision Optometry and Dr. Erica Wu Optometry.

Where is Advanced Vision Group, Inc. located?

Advanced Vision Group, Inc. is located at 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403. The listed phone number is (707) 542-8883.

What is Advanced Vision Group, Inc.'s specialty?

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

Is Advanced Vision Group, Inc. enrolled in Medicare?

Yes. Advanced Vision Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Vision Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Advanced Vision Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Vision Group, Inc. was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.