Individual provider Active NPI

Becky Luu

  • Pediatric Optometrist
  • Plano, TX
National Provider Identifier
1336597962
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
8889 Issued in TX
Practice address
3801 W 15TH St Ste a-110
Plano, TX 75075-4737
Phone
(972) 758-0625
NPI assigned
May 24, 2016
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T225TAA40 AL
Pediatric Optometrist 152WP0200X 8889 TX Primary

Addresses

Primary practice location

3801 W 15TH St Ste a-110
Plano, TX 75075-4737

Mailing address

3801 W 15TH St Ste a-110
Plano, TX 75075-4737
Phone (972) 758-0625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160713000945 AL Practitioner - Optometry 9830481779 Reassigns benefits to 1 organization
I20241030001587 TX Practitioner - Optometry 9830481779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 W 15TH St
A110
Plano, TX 75075-4737
Phone (972) 758-0625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T225TAA40ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 20, 2016 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jun 20, 2016 Accepting new patients
David Stager, Jr. M.D., P.a. CurrentSince Oct 15, 2023 Accepting new patients
Dr. Luu Little Eyes, PLLC Pediatrics CurrentSince Sep 3, 2024 Accepting new patients
Center for Misaligned Eyes PA PastSince Aug 3, 2015 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

1716 University Blvd
#G90A
Birmingham, AL 35233

3801 W 15th St
#A110
Plano, TX 75075
Phone (972) 758-0625

3801 W 15th St
Ste A110
Plano, TX 75075
Phone (972) 758-0625

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1336597962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST STE A-110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754737",
            "telephone_number": "972-758-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST STE A-110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754737",
            "telephone_number": "972-758-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "BECKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "T225TAA40",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "8889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.