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TIFFANY LU OD
NPI 1609567189
Optometrist in Jamaica Plain, MA

Active since May 16, 2023PECOS EnrolledAccepts Medicare Assignment
615 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 983-3937 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2026, May 16, 2023 (2 updates tracked since 2023).

About Tiffany Lu Od NPPES

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

TIFFANY LU OD (NPI 1609567189) is an individual optometrist in Jamaica Plain, Massachusetts, licensed in Massachusetts (5594) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2019).

NPPES Registry Identity

NPI1609567189
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTIFFANY LUCredential: OD
Location Address615 CENTRE STJamaica Plain, MA 02130-2537
Mailing Address215 Thomas Burgin Pkwy Unit 24Quincy, MA 02169-4220
Phone(617) 983-3937
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2019
Enumeration DateMay 16, 2023
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1609567189 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 MA · 5594
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.
615 CENTRE ST, Jamaica Plain, MA 02130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Lu 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 ID4688034689
PECOS Enrollment IDI20230724000329
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Tiffany Lu's NPI number?

The NPI number for Tiffany Lu is 1609567189. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Tiffany Lu located?

Tiffany Lu practices at 615 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-3937.

What is Tiffany Lu's specialty?

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

Is Tiffany Lu enrolled in Medicare?

Yes. Tiffany Lu 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.

What insurance does Tiffany Lu accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Tiffany Lu 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 Tiffany Lu was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.