Individual provider Active NPI

Tiffany Bich Luu

  • Optometrist
  • El Centro, CA
National Provider Identifier
1659065001
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35484 Issued in CA
Practice address
3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140
Phone
(760) 336-3003
NPI assigned
Jun 7, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 OPT35484 CA Primary

Addresses

Primary practice location

3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140

Mailing address

3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140
Phone (760) 336-3003

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
I20231018002621 CA Practitioner - Optometry 7416302963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3451 S Dogwood Rd
Suite 1334
El Centro, CA 92243-9140
Phone (760) 336-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35484CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Optometric Corporation Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Imperial Valley Optometric Corporation Optometrist CurrentSince Jul 13, 2025 Accepting new patients
Imperial Beach Optometric Corporation Optometrist CurrentSince Jun 21, 2025 Accepting new patients
Total Vision PC Optometrist PastSince Jun 11, 2023 Accepting new patients

Locations

3451 S Dogwood Rd
Ste 1334
El Centro, CA 92243
Phone (760) 336-3003

812 N Imperial Ave
El Centro, CA 92243
Phone (760) 352-7460

1555 Palm Ave
Ste A2
San Diego, CA 92154
Phone (619) 297-2020

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1659065001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD RD STE 1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439140",
            "telephone_number": "760-336-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD RD STE 1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439140",
            "telephone_number": "760-336-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "TIFFANY",
        "middle_name": "BICH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.