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: July 19, 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
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

Accepted 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

The NPI number assigned to this healthcare provider is 1609567189, enumerated as an "individual" on May 16, 2023.

The provider is located at 615 CENTRE ST JAMAICA PLAIN, MA 02130 and the phone number is (617) 983-3937.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.