Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY LU
NPI 1508750969
Optometrist in Northport, NY

Active since June 09, 2025
79 MIDDLEVILLE RD, NORTHPORT, NY 11768(631) 261-4400 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2026, May 29, 2026, Jun 9, 2025 (3 updates tracked since 2025).

About Kelly Lu NPPES

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

KELLY LU (NPI 1508750969) is an individual optometrist in Northport, New York, licensed in New York (011271) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1508750969
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLY LU
Location Address79 MIDDLEVILLE RDNorthport, NY 11768-2200
Mailing Address79 Middleville RdNorthport, NY 11768-2200 · (646) 625-9666
Sole ProprietorNo
Enumeration DateJune 9, 2025
Last NPPES UpdateAugust 2, 20263 updates tracked since enumeration
NPPES CertifiedAugust 2, 2026
NPI 1508750969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NY · 011271
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.
79 MIDDLEVILLE RD, Northport, NY 11768

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.

Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker (Clinical)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Anesthesiology
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
General Acute Care Hospital
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Pharmacist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Occupational Therapist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768

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 Kelly Lu's NPI number?

The NPI number for Kelly Lu is 1508750969. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Kelly Lu located?

Kelly Lu practices at 79 Middleville Rd, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Kelly Lu's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Lu was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.