Provider Demographics
NPI:1730426560
Name:WU, GUANGBO
Entity type:Individual
Prefix:DR
First Name:GUANGBO
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HYLAN DR
Mailing Address - Street 2:AMERICA'S BEST CONTACTS AND EYEGLASSES
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4218
Mailing Address - Country:US
Mailing Address - Phone:585-794-5940
Mailing Address - Fax:585-794-5945
Practice Address - Street 1:1000 HYLAN DR
Practice Address - Street 2:AMERICA'S BEST CONTACTS AND EYEGLASSES
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4218
Practice Address - Country:US
Practice Address - Phone:585-794-5940
Practice Address - Fax:585-794-5945
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007815152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist