Jeffry Wu O.D. Professional Corporation
NPI 1720591480 · Optometrist · Redlands, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffry Wu O.D. Professional Corporation is a Optometrist organization in Redlands, CA (NPI 1720591480).
Provider details
- NPI number
- 1720591480
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jeffry Wu, President(909) 792-2280
- License
- 15020 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- State Street Optometry
Registry dates
- Enumerated
- 2017-11-15
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Frequently asked questions
- What is Jeffry Wu O.D. Professional Corporation's NPI number?
- Jeffry Wu O.D. Professional Corporation's National Provider Identifier (NPI) is 1720591480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffry Wu O.D. Professional Corporation?
- Jeffry Wu O.D. Professional Corporation is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Jeffry Wu O.D. Professional Corporation located?
- Jeffry Wu O.D. Professional Corporation's practice location on file with NPPES is 112 E State St, Redlands, CA 92373-4756.
- What is Jeffry Wu O.D. Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jeffry Wu O.D. Professional Corporation is (909) 792-2280.
- Does Jeffry Wu O.D. Professional Corporation accept Medicare?
- Jeffry Wu O.D. Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jeffry Wu O.D. Professional Corporation?
- The authorized official listed on Jeffry Wu O.D. Professional Corporation's NPPES record is Jeffry Wu, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffry Wu O.D. Professional Corporation's NPI active?
- Yes — Jeffry Wu O.D. Professional Corporation's NPI (1720591480) is active in the NPPES registry as of the last update on 2020-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.