Individual provider Active NPI

Stella Tu, OD

  • Optometrist
  • Redlands, CA
National Provider Identifier
1639767940
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34743-TLG Issued in CA
Practice address
1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125
Phone
(909) 363-1450
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34743-TLG CA Primary

Addresses

Primary practice location

1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Other practice location 1

494 N Mountain Ave
Upland, CA 91786-5178
Phone (909) 552-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211210002146 CA Practitioner - Optometry 9133519861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians

Practice addresses (Care Compare)

1845 W Redlands Blvd
Suite 101
Redlands, CA 92373-3125
Phone (909) 363-1450

494 N Mountain Ave
Upland, CA 91786-5178
Phone (909) 552-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34743CAMDMarriage & Family Therapist
34743-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Vision Inc. Optometrist CurrentSince Jun 12, 2024 Accepting new patients
California Eye Specialists Medical Group, Inc CurrentSince Sep 8, 2021 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450

1845 W Redlands Blvd
Redlands, CA 92373

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

399 E Highland Ave
Sn Bernrdno, CA 92404
Phone (909) 882-1711

494 N Mountain Ave
Upland, CA 91786
Phone (909) 552-7200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stella.tu.p1@direct.atlantiseyecare.nextgenshare.com

Organizations & group practices 7

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1639767940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W REDLANDS BLVD STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733125",
            "telephone_number": "909-363-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 N Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865178",
            "country_code": "US",
            "telephone_number": "909-552-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TU",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34743-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.