LYDIE TSHIYOYO TUBENE OD
NPI 1255021606
Optometrist in Rochester, NY

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 273-3937 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2024, Jul 24, 2023, Jun 7, 2023 and 1 more (4 updates tracked since 2023).

About Lydie Tshiyoyo Tubene Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIE TSHIYOYO TUBENE OD (NPI 1255021606) is an individual optometrist in Rochester, New York, licensed in New York (TUV009832) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakton, and is a graduate of Illinois College Of Optometry At Chicago (2023).

NPPES Registry Identity

NPI1255021606
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLYDIE TSHIYOYO TUBENECredential: OD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 888Rochester, NY 14642-0001 · (585) 273-3937
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2023
Enumeration DateMay 9, 2023
Last NPPES UpdateMay 13, 20244 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1255021606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · TUV009832✔ Licensed in VA · 0618003365
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
601 ELMWOOD AVE, Rochester, NY 14642

Other Names 1

Other Name (5)Lydie T Tubene

Secondary Practice Location 1

Location 12960 Chain Bridge Rd Ste 101Oakton, VA 22124-3018 · Phone (703) 865-6890

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lydie Tshiyoyo Tubene Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648632398
PECOS Enrollment IDI20240525000135, I20241021000270
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Lydie Tubene reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Ophthalmology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 59 clinicians in this Medicare group
Health Maintenance Organization
655 WATKINS MILL RD
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1225156367 (Virginia)
  • 2,492 clinicians in this Medicare group
Optometrist
2028 S PLEASANT VALLEY RD
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1265198071 (District of Columbia)
  • 337 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydie Tubene's NPI number?

The NPI number for Lydie Tubene is 1255021606. It was assigned to this individual provider in the NPPES registry on May 9, 2023. The provider is also known as Lydie T Tubene.

Where is Lydie Tubene located?

Lydie Tubene practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 273-3937.

What is Lydie Tubene's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lydie Tubene enrolled in Medicare?

Yes. Lydie Tubene is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lydie Tubene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydie Tubene reassigns Medicare benefits to 3 organizations: Strong Eye Care (Rochester, NY), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD) and Myeyedr Optometry Of Virginia, PLLC (Winchester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydie Tubene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydie Tubene accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Lydie Tubene as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydie Tubene was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.