Individual provider Active NPI

Lynne Dianne Louie Luu, O. D.

  • Optometrist
  • Westminster, CA
National Provider Identifier
1922093269
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8786T Issued in CA
Practice address
9351 Bolsa Avenue
Westminster, CA 92683
Phone
(714) 494-1333
Fax
(714) 463-4896
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8786T CA Primary

Addresses

Primary practice location

9351 Bolsa Avenue
Westminster, CA 92683

Mailing address

9351 Bolsa Avenue
Westminster, CA 92683
Phone (714) 494-1333

Other identifiers 1

IdentifierTypeStateIssuer
1922093269OtherCAMEDI-CAL

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
I20041117001257 CA Practitioner - Optometry 3173587243 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Jeffrey V. Winston, M.D., a Professional Corp.Group PAC ID 4880658558, 7 clinicians

Practice addresses (Care Compare)

1400 N Harbor Blvd
Suite 101
Fullerton, CA 92835-4107
Phone (714) 888-2080

Merit-based Incentive Payment System (MIPS)

Final score
74.81 of 100Reported as group
Quality
95.75
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8786TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey V. Winston, MD a Professional Corp Optometrist CurrentSince Jan 1, 2004 Accepting new patients

Locations

1400 N Harbor Blvd
Ste 101
Fullerton, CA 92835
Phone (714) 888-2080

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1922093269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 BOLSA AVENUE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-494-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 BOLSA AVENUE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-494-1333",
            "fax_number": "714-463-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE LUU",
        "first_name": "LYNNE",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8786T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1922093269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.