Individual provider Active NPI

Janine Lu, OD

  • Optometrist
  • Skokie, IL
National Provider Identifier
1972337905
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011917 Issued in IL
Practice address
4349 Howard St
Skokie, IL 60076-3755
Phone
(847) 677-8022
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011917 IL Primary
Optometrist 152W00000X OPT36338 CA

Addresses

Primary practice location

4349 Howard St
Skokie, IL 60076-3755

Mailing address

7215 N District Ave Apt 670
Lincolnwood, IL 60712-1851
Phone (916) 662-3295

Other practice location 1

8246 Laguna Blvd Ste 300
Elk Grove, CA 95758-7972
Phone (916) 684-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20241118002020 IL Practitioner - Optometry 5294276341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H Kim OD and Associates PLLCGroup PAC ID 7012307820, 2 clinicians

Practice addresses (Care Compare)

4349 Howard St
Skokie, IL 60076-3755
Phone (847) 677-8022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011917ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
H. Kim, OD & Associates, PLLC Optometrist CurrentSince Oct 14, 2024 Accepting new patients

Locations

4349 Howard St
Skokie, IL 60076
Phone (847) 677-8022

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1972337905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 N DISTRICT AVE APT 670",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121851",
            "telephone_number": "916-662-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763755",
            "telephone_number": "847-677-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8246 Laguna Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587972",
            "country_code": "US",
            "telephone_number": "916-684-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "JANINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011917",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.