Individual provider Active NPI

Amy Ngoc Luu, OD

  • Corneal and Contact Management Optometrist
  • Oklahoma City, OK
National Provider Identifier
1508144346
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2702 Issued in OK
Practice address
2700 SW 29TH St
Oklahoma City, OK 73119-1806
Phone
(405) 632-9749
NPI assigned
Jul 27, 2011
Last updated
Mar 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2702 OK Primary
Low Vision Rehabilitation Optometrist 152WL0500X 2702 OK
Pediatric Optometrist 152WP0200X 2702 OK
Sports Vision Optometrist 152WS0006X 2702 OK
Vision Therapy Optometrist 152WV0400X 2702 OK
Occupational Vision Optometrist 152WX0102X 2702 OK

Addresses

Primary practice location

2700 SW 29TH St
Oklahoma City, OK 73119-1806

Mailing address

2700 SW 29TH St
Oklahoma City, OK 73119-1806
Phone (405) 632-9749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111007000327 OK Practitioner - Optometry 0345412771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Caan PLLCGroup PAC ID 9739559162, 2 clinicians

Practice addresses (Care Compare)

6303 NW 23Rd St
Bethany, OK 73008-5931
Phone (405) 782-0300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2702OKMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Caan PLLC CurrentSince May 1, 2025 Accepting new patients
Dr Thomas Wolf and Associates PLLC CurrentSince Nov 26, 2021 Accepting new patients
McRay Eyecare PLLC Past Accepting new patients
Affordable Price Vision Ctr Inc PastSince Feb 1, 2006 Accepting new patients

Locations

6303 NW 23rd St
Bethany, OK 73008
Phone (405) 782-0300

7221 NW 23rd St
Bethany, OK 73008
Phone (405) 782-0300

3431 S Boulevard
Ste 105
Edmond, OK 73013
Phone (405) 341-6941

12444 NW 10th St
Ste 101
Yukon, OK 73099
Phone (405) 265-7521

Organizations & group practices 4

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1508144346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191806",
            "telephone_number": "405-632-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191806",
            "telephone_number": "405-632-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "AMY",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "2702",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OK",
            "license": "2702",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "2702",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OK",
            "license": "2702",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OK",
            "license": "2702",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OK",
            "license": "2702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.