Wu, Usana
Wu, Usana is an sole proprietor health care provider with primary practice located at 200 Cove Way #504, Quincy MA 02169-5882. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wu, Usana can be contacted via phone (617) 770-4204.Contact Information
Primary practice address
200 Cove Way #504
Quincy MA 02169-5882
Phone: (617) 770-4204
Fax: (617) 770-4204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3672 | Massachusetts |
Profile Details
| NPI number | 1922120781 |
|---|---|
| LBN Legal business name | Wu, Usana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922120781 | NPPES |
| Massachusetts | MEDICAID | 0391794 |
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