Individual provider Active NPI

Stacy Nina Hu, O.D., M.S.

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1043699382
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33494 Issued in CA
Practice address
10837 Laurel St Ste 202
Rancho Cucamonga, CA 91730-7669
Phone
(909) 987-3330
Fax
(909) 706-3773
NPI assigned
May 19, 2015
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33494 CA Primary
Optometrist 152W00000X 60559136 WA

Addresses

Primary practice location

10837 Laurel St Ste 202
Rancho Cucamonga, CA 91730-7669

Mailing address

10837 Laurel St Ste 202
Rancho Cucamonga, CA 91730-7669
Phone (909) 987-3330

Other practice location 1

2150 N Waterman Ave Ste 201
San Bernardino, CA 92404-4811
Phone (909) 881-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160909001525 CA Practitioner - Optometry 0345554671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33494CAMDChiropractor
60559136WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western University of Health Sciences Optometrist CurrentSince Nov 19, 2018 Accepting new patients
Western University of Health Sciences CurrentSince Nov 19, 2018 Accepting new patients
Arthur Friedman OD Apoc Optometrist Current Accepting new patients
Western University of Health Sciences Current Accepting new patients
Arthur Friedman OD a Professional Optometric Corporation Optometrist CurrentSince Aug 23, 2004 Accepting new patients
Ronald L. Goldstein, O.D. Optometrist PastSince Dec 5, 2016 Accepting new patients

Locations

795 E 2nd St
Ste 2
Pomona, CA 91766
Phone (909) 469-8673

795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877

10837 Laurel St
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 945-2425

2150 N Waterman Ave
Ste 201
Sn Bernrdno, CA 92404
Phone (909) 717-9636

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1043699382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 LAUREL ST STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307669",
            "telephone_number": "909-987-3330",
            "fax_number": "909-706-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 LAUREL ST STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307669",
            "telephone_number": "909-987-3330",
            "fax_number": "909-706-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 N Waterman Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044811",
            "country_code": "US",
            "telephone_number": "909-881-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HU",
        "first_name": "STACY",
        "middle_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33494",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60559136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.