Individual provider Active NPI

Lisa Lu, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1063864452
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33470 Issued in CA
Practice address
7075 N Sharon Ave
Fresno, CA 93720
Phone
(559) 486-2000
NPI assigned
Jul 8, 2016
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33470 CA Primary

Addresses

Primary practice location

7075 N Sharon Ave
Fresno, CA 93720

Mailing address

7075 N Sharon Ave
Fresno, CA 93720-3329

Other practice location 1

7088 N Maple Ave
Suite 105
Fresno, CA 93720-0101
Phone (559) 325-5694

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
I20180105000902 CA Practitioner - Optometry 5890053532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Vision Center Medical Group IncGroup PAC ID 1052219409, 10 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

Merit-based Incentive Payment System (MIPS)

Final score
93.52 of 100Reported as group
Quality
87.97
Promoting interoperability
96
Improvement activities
40
Cost
79.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Center Medical Group, Inc. Optometrist CurrentSince Sep 21, 2020 Accepting new patients

Locations

1360 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 449-5049

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lisa.lu.p1@direct.eyeqvc.nextgenshare.com
  • Direct secure messaging: lisa.lu.p2@direct.californiaeye.nextgenshare.com

Organizations & group practices 1

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1063864452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-486-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7088 N Maple Ave",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200101",
            "country_code": "US",
            "telephone_number": "559-325-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.