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General NPI Number Information
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NPI Number | 1437998119
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Entity Type | Individual
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Provider Name | TIFFANY LU OD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5303 HARRY HINES BLVD FL 6
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City | DALLAS
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State | TX
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Zip | 75390-7208
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Country | US
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Telephone | 214-645-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-5347
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Country | US
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Telephone | 214-645-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.007298
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11208TG
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License Number State | TX
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