Individual provider Active NPI

Oanh Huynh Lu, OD

  • Optometrist
  • Kent, WA
National Provider Identifier
1457628000
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61109395 Issued in WA
Practice address
420 W Smith St Ste 105
Kent, WA 98032-4447
Phone
(253) 867-1616
Fax
(253) 867-1618
NPI assigned
Nov 28, 2011
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002669 GA
Optometrist 152W00000X 61109395 WA Primary
Optometrist 152W00000X 3011 TN

Addresses

Primary practice location

420 W Smith St Ste 105
Kent, WA 98032-4447

Mailing address

17818 SE 136TH St
Renton, WA 98059-7135
Phone (917) 587-4914

Other practice location 1

7084 Lakeland Hills Way SE Ste 101
Auburn, WA 98092-8439
Phone (253) 351-0092

Other practice location 2

6505 California Ave SW
Seattle, WA 98136-1833
Phone (206) 829-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250116001165 WA Practitioner - Optometry 5698932234 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011TNMDProfessional Counselor
OPT002669GAMDOptometrist
61109395WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Seattle Vision Clinic PLLC Optometrist CurrentSince Dec 27, 2024 Accepting new patients
Northwest Eyecare Network Optometrist CurrentSince Jul 16, 2023 Accepting new patients
Michael H Chow & Associates PLLC Optometrist CurrentSince Nov 6, 2024 Accepting new patients

Locations

7084 Lakeland Hills Way SE
Ste 101
Auburn, WA 98092
Phone (253) 351-0092

420 W Smith St
Ste 105
Kent, WA 98032
Phone (253) 867-1616

6505 California Ave SW
Seattle, WA 98136
Phone (206) 829-9688

6505 California Ave SW
#101
Seattle, WA 98136
Phone (206) 829-9688

Organizations & group practices 3

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1457628000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17818 SE 136TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980597135",
            "telephone_number": "917-587-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W SMITH ST STE 105",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324447",
            "telephone_number": "253-867-1616",
            "fax_number": "253-867-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7084 Lakeland Hills Way SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980928439",
            "country_code": "US",
            "telephone_number": "253-351-0092",
            "fax_number": "253-351-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981361833",
            "country_code": "US",
            "telephone_number": "206-829-9688",
            "fax_number": "206-829-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "OANH",
        "middle_name": "HUYNH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002669",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61109395",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.