Individual provider Active NPI

Lucy P Lu, O.D.

  • Optometrist
  • Chino Hills, CA
National Provider Identifier
1821145459
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011699T Issued in CA
Practice address
4200 Chino Hills Pkwy Ste 390
Chino Hills, CA 91709-5825
Phone
(909) 393-9058
Fax
(909) 393-7298
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011699T CA Primary

Addresses

Primary practice location

4200 Chino Hills Pkwy Ste 390
Chino Hills, CA 91709-5825

Mailing address

4200 Chino Hills Pkwy Ste 390
Chino Hills, CA 91709-5825
Phone (909) 393-9058

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
I20051214000968 CA Practitioner - Optometry 0941221162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chino Hills Optometry IncGroup PAC ID 9830448745, 3 clinicians

Practice addresses (Care Compare)

4200 Chino Hills Pkwy
Suite 390
Chino Hills, CA 91709-5825
Phone (909) 393-9058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011699TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norco Valley Optometry, Inc Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Corona Valley Optometry Inc Optometrist CurrentSince Aug 6, 2013 Accepting new patients
Chino Hills Optometry Inc Optometrist CurrentSince Jan 7, 2003 Accepting new patients
Dan B Tran Medical Corporation Optometrist CurrentSince Dec 3, 2021 Accepting new patients

Locations

4200 Chino Hills Pkwy
Ste 390
Chino Hills, CA 91709
Phone (909) 393-9058

7056 Archibald Ave
Ste 107
Eastvale, CA 92880
Phone (951) 898-8508

1700 Hamner Ave
Ste 102
Norco, CA 92860
Phone (951) 735-7122

1524 4th St
Ste 101
Norco, CA 92860
Phone (714) 771-1213

Organizations & group practices 4

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1821145459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 390",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095825",
            "telephone_number": "909-393-9058",
            "fax_number": "909-393-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 390",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095825",
            "telephone_number": "909-393-9058",
            "fax_number": "909-393-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "LUCY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "011699T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.