Individual provider Active NPI

Tien Lu, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1609283761
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8480T Issued in TX
Practice address
23645 Katy Fwy
Katy, TX 77494-7221
Phone
(281) 347-9915
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 8480T TX Primary

Addresses

Primary practice location

23645 Katy Fwy
Katy, TX 77494-7221

Mailing address

1809 Eldridge Pkwy
Ste 107
Houston, TX 77077-2549
Phone (281) 496-9615

Other practice location 1

1809 Eldridge Pkwy
Ste 107
Houston, TX 77077-2549
Phone (281) 496-9615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8480TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tien K. Lu, OD, PLLC Optometrist Current Accepting new patients
Tuan K Le Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tien.lu@uprisedirect.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1609283761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 ELDRIDGE PKWY",
            "address_2": "STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772549",
            "telephone_number": "281-496-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23645 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947221",
            "telephone_number": "281-347-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 Eldridge Pkwy",
            "address_2": "Ste 107",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770772549",
            "country_code": "US",
            "telephone_number": "281-496-9615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8480T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.