Active NPI
Tiffany Yi-Tin Lu, O. D.
- Optometrist
- Sacramento, CA
National Provider Identifier
1710122312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13388T
- Practice address
- 2409 15TH St
Sacramento, CA 95818-2238 - Phone
- (916) 443-8034
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13388T | CA | Primary |
Addresses
Primary practice location
2409 15TH St
Sacramento, CA 95818-2238
Mailing address
2409 15TH St
Sacramento, CA 95818-2238
Phone (916) 443-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13388T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Huynh OD PC | Optometrist | Current | Accepting new patients |
| Nichole R. Moos, O.D. Inc | Optometrist | Past | Accepting new patients |
| Kubo & Kubo, O.D.S | Optometrist | Past | Accepting new patients |
Locations
2409 15th St
Sacramento, CA 95818
Phone (916) 335-9655
Organizations & group practices 3
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.
-
- Optometrist
- Sacramento, CA
- NPI 1275937955
-
- Optometrist
- Sacramento, CA
- NPI 1386827087
-
- Optometrist
- Sacramento, CA
- NPI 1669030961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1710122312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 15TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182238",
"telephone_number": "916-443-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 15TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182238",
"telephone_number": "916-443-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "TIFFANY",
"middle_name": "YI-TIN",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13388T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.