Individual provider Active NPI

Lena Yen Luu, OD

  • Optometrist
  • Fremont, CA
National Provider Identifier
1679463384
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36028 Issued in CA
Practice address
3935 Beacon Ave Ste a
Fremont, CA 94538-1458
Phone
(510) 792-9900
NPI assigned
Jul 4, 2025
Last updated
Jul 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36028 CA Primary

Addresses

Primary practice location

3935 Beacon Ave Ste a
Fremont, CA 94538-1458

Mailing address

657 Hermitage Way
San Jose, CA 95134-1330

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
I20250826003066 CA Practitioner - Optometry 7517467277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harano and Haw Optometric CorpGroup PAC ID 2769574672, 4 clinicians

Practice addresses (Care Compare)

3935 Beacon Ave
Suite a
Fremont, CA 94538-1458
Phone (510) 792-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36028CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harano & Haw Optometric Corp Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Harano & Haw Optometric Corp Optometrist Current Accepting new patients

Locations

3935 Beacon Ave
Ste A
Fremont, CA 94538
Phone (510) 792-9900

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, 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": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1679463384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HERMITAGE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 BEACON AVE STE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381458",
            "telephone_number": "510-792-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "LENA",
        "middle_name": "YEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.