Individual provider Active NPI

Xiao Meng Lu, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1720319791
Registry record updated Jul 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13770 TLG Issued in CA
Practice address
7007 Friars Rd
Suite 667a
San Diego, CA 92108-1148
Phone
(619) 542-1794
Fax
(619) 542-1518
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 13770 TLG CA Primary

Addresses

Primary practice location

7007 Friars Rd
Suite 667a
San Diego, CA 92108-1148

Mailing address

8650 Genesee Ave
Suite 316
San Diego, CA 92122-1134
Phone (858) 452-3299

Other names 1

  • Mona Lu Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 13770 TLGCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310774400000",
    "number": "1720319791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 GENESEE AVE",
            "address_2": "SUITE 316",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221134",
            "telephone_number": "858-452-3299",
            "fax_number": "858-452-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 FRIARS RD",
            "address_2": "SUITE 667A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081148",
            "telephone_number": "619-542-1794",
            "fax_number": "619-542-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "XIAO MENG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2011-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13770 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "LU",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2011; 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.