Individual provider Active NPI

Nancy Luu

  • Optometrist
  • Hayward, CA
National Provider Identifier
1841586849
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14210 Issued in CA
Practice address
865 B St
Hayward, CA 94541-5107
Phone
(510) 733-3105
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 14210 CA Primary

Addresses

Primary practice location

865 B St
Hayward, CA 94541-5107

Mailing address

1442 5TH Ave
Oakland, CA 94606-2325

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
I20120621000113 CA Practitioner - Optometry 0042474181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1442 5TH Ave
Oakland, CA 94606-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14210CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hayward Optometry, Inc. Past Accepting new patients
Berkeley California Optometric, Inc Optometrist PastSince Oct 13, 2016 Accepting new patients
Payam Zarehbin Optometrist PastSince Mar 10, 2015 Accepting new patients
East Bay Eye Centers Medical Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1841586849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 5TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415107",
            "telephone_number": "510-733-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.