DR. HTOO HTOO LU OD
NPI 1811547656
Optometrist in Petaluma, CA

Active since September 13, 2019PECOS EnrolledAccepts Medicare Assignment
855 LAKEVILLE ST STE 102, PETALUMA, CA 94952(510) 557-8486 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Sep 13, 2019 (2 updates tracked since 2019).

About Dr. Htoo Htoo Lu Od NPPES

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

DR. HTOO HTOO LU OD (NPI 1811547656) is an individual optometrist in Petaluma, California, licensed in California (34361-TLG) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lemoore, and is a graduate of Western University Of Health Sciences College Of Dental Med (2019).

NPPES Registry Identity

NPI1811547656
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HTOO HTOO LUCredential: OD
Location Address855 LAKEVILLE ST STE 102Petaluma, CA 94952-7328
Mailing Address37036 Alexander StFremont, CA 94536-6502 · (510) 557-8486
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2019
Enumeration DateSeptember 13, 2019
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1811547656 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 CA · 34361-TLG
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.
855 LAKEVILLE ST STE 102, Petaluma, CA 94952

Secondary Practice Location 1

Location 1162 W D StLemoore, CA 93245-2938 · Phone (559) 924-4417 · Fax (559) 924-3942

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

Dr. Htoo Htoo 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 ID5799118378
PECOS Enrollment IDI20191212002168
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services30 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
14 services14 patients
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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94952 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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 2

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

Optometrist
855 LAKEVILLE ST STE 102
PETALUMA, CA 94952
Optometrist
855 LAKEVILLE ST STE 102
PETALUMA, CA 94952

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 Htoo Htoo Lu's NPI number?

The NPI number for Htoo Htoo Lu is 1811547656. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Htoo Htoo Lu located?

Htoo Htoo Lu practices at 855 Lakeville St Ste 102, Petaluma, CA 94952. The listed phone number is (510) 557-8486.

What is Htoo Htoo Lu's specialty?

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

Is Htoo Htoo Lu enrolled in Medicare?

Yes. Htoo Htoo 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 Htoo Htoo Lu accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Htoo Htoo 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 Htoo Htoo Lu was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.