Active NPI
Htoo Htoo Lu, OD
- Optometrist
- Petaluma, CA
National Provider Identifier
1811547656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34361-TLG
- Practice address
- 855 Lakeville St Ste 102
Petaluma, CA 94952-7328 - Phone
- (510) 557-8486
- NPI assigned
- Sep 13, 2019
- 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 | 34361-TLG | CA | Primary |
Addresses
Primary practice location
855 Lakeville St Ste 102
Petaluma, CA 94952-7328
Mailing address
37036 Alexander St
Fremont, CA 94536-6502
Phone (510) 557-8486
Other practice location 1
162 W D St
Lemoore, CA 93245-2938
Phone (559) 924-4417
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Western University of Health Sciences College of Dental Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
855 Lakeville St
Suite 102
Petaluma, CA 94952-7328
Phone (707) 763-1423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34361-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Htoo Htoo Lu OD Prof Corp | Optometrist | Current | Accepting new patients |
| Gerald T Pittler O. D. Inc. | Optometrist | Current | Accepting new patients |
Locations
855 Lakeville St
Ste 102
Petaluma, CA 94952
Phone (707) 763-1423
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
- Petaluma, CA
- NPI 1285520833
-
- Optometrist
- Lemoore, CA
- NPI 1699782516
-
- Optometrist
- Petaluma, CA
- NPI 1033410014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1811547656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37036 ALEXANDER ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945366502",
"telephone_number": "510-557-8486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 LAKEVILLE ST STE 102",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949527328",
"telephone_number": "510-557-8486"
}
],
"practiceLocations": [
{
"address_1": "162 W D St",
"address_purpose": "LOCATION",
"city": "Lemoore",
"state": "CA",
"postal_code": "932452938",
"country_code": "US",
"telephone_number": "559-924-4417",
"fax_number": "559-924-3942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "HTOO HTOO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34361-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.