Individual provider Active NPI

Jessica Luu, O.D.

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1619364775
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4921 Issued in FL
Practice address
665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone
(321) 984-3200
Fax
(321) 984-0032
NPI assigned
Apr 16, 2015
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4921 FL Primary

Addresses

Primary practice location

665 S Apollo Blvd
Melbourne, FL 32901-1485

Mailing address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 938-2020

Other practice location 1

250 N Courtenay Pkwy
Merritt Island, FL 32953-3453
Phone (321) 984-3200

Other practice location 2

7775 N Wickham Rd
Melbourne, FL 32940-7914
Phone (321) 984-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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
I20170407000223 FL Practitioner - Optometry 2860778768 Reassigns benefits to 2 organizations
I20211013003216 CA Practitioner - Optometry 2860778768

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Eye Center IncGroup PAC ID 7719884576, 8 clinicians

Practice addresses (Care Compare)

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 821-7446

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
44.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 14, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 14, 2017 Accepting new patients
Brevard Eye Center CurrentSince Dec 20, 2022 Accepting new patients
Brevard Eye Center, Inc CurrentSince Dec 20, 2022 Accepting new patients
Oakland Vision Center Optometrist PastSince Oct 1, 2021 Accepting new patients

Locations

665 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 676-1700

7775 N Wickham Rd
Melbourne, FL 32940
Phone (321) 984-3200

250 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 453-5700

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1619364775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-938-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S APOLLO BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011485",
            "telephone_number": "321-984-3200",
            "fax_number": "321-984-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Courtenay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533453",
            "country_code": "US",
            "telephone_number": "321-984-3200",
            "fax_number": "321-984-0032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7775 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407914",
            "country_code": "US",
            "telephone_number": "321-984-3200",
            "fax_number": "321-984-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.