Individual provider Active NPI

Vivian Lu, OD

  • Optometrist
  • Saratoga Springs, NY
National Provider Identifier
1720651938
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009420 Issued in NY
Practice address
3039 Route 50
Saratoga Springs, NY 12866-2937
Phone
(518) 580-1117
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009420 NY Primary
Optometrist 152W00000X 27OA00734100 NJ
Optometrist 152W00000X 27OM00201700 NJ

Addresses

Primary practice location

3039 Route 50
Saratoga Springs, NY 12866-2937

Mailing address

11103 Rockaway St
Malta, NY 12020-5226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210811003803 NY Practitioner - Optometry 7517361611 Reassigns benefits to 3 organizations
I20250616002752 NJ Practitioner - Optometry 7517361611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DNV Optometry LLCGroup PAC ID 5294246476, 3 clinicians

Practice addresses (Care Compare)

369 Springfield Ave
Suite 1
Berkeley Heights, NJ 07922-1170
Phone (908) 464-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OM00201700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Jul 23, 2021 Accepting new patients
DNV Optometry LLC Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jul 23, 2021 Accepting new patients

Locations

369 Springfield Ave
Ste 1
Berkeley Hts, NJ 07922
Phone (908) 464-0123

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

54 Crossing Blvd
#X
Clifton Park, NY 12065
Phone (518) 373-2200

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

3039 Route 50
Saratoga Springs, NY 12866
Phone (518) 580-1117

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1720651938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 ROCKAWAY ST",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 ROUTE 50",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662937",
            "telephone_number": "518-580-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009420",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00734100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00201700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.