Liu-Wu, Jeanny M

Liu-Wu, Jeanny M is an sole proprietor health care provider with primary practice located at Pearle Vision 3001 White Bear Ave. No., Suite 1050, St. Paul MN 55109. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Liu-Wu, Jeanny M can be contacted via phone (651) 770-3923.

Contact Information

Primary practice address
Pearle Vision 3001 White Bear Ave. No., Suite 1050 St. Paul MN 55109
Phone: (651) 770-3923
Fax: (651) 770-5316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2339 Minnesota

Profile Details

NPI number 1073609715
LBN Legal business name Liu-Wu, Jeanny M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Feb 5th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073609715 NPPES
Minnesota Other 12342 EYE MED / COLE VISION
Minnesota MEDICAID 140725200 EYE MED / COLE VISION
Minnesota Other 3C313WU EYE MED / COLE VISION

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