Jennifer Yen Luu, O.D., M.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14713 Issued in CA

Practice address

1520 Discovery Bay Blvd
Suite 600
Discovery Bay, CA 94505-1098

Phone

(925) 516-0202

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Fred WM Stellhorn Optometric Corporation

  • Optometrist
  • Manteca, CA
  • NPI 1124290721
  NPD

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1669814430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 OAK RD APT B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977850",
            "telephone_number": "650-387-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 DISCOVERY BAY BLVD",
            "address_2": "SUITE 600",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945051098",
            "telephone_number": "925-516-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "JENNIFER",
        "middle_name": "YEN",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Keswani, PHARMD
• Kiara Mary Kiester
• Diana Lipson, PHARM. D.
• Longs Drug Stores California LLC
• Fatmata Nancy Longstreth, RN
• Alicia Miller
• Taunya Moise, CD
• Jessica Munoz
• Darrell R Musick, PT
• Garret Nakata

• Optometrist in Discovery Bay, CA
• Providers in Discovery Bay, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.