Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lydie Tshiyoyo Tubene, OD

Individual provider Optometrist · NPI 1255021606

Lydie Tshiyoyo Tubene, OD is an Optometry in Rochester, New York. Graduated from Illinois College of Optometry at Chicago in 2023, 3 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
3
Trained at
Illinois College of Optometry at Chicago
Licensed in
NY, VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 273-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2960 Chain Bridge Rd Ste 101, Oakton, VA 22124-3018 — (703) 865-6890

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV009832 (NY)
Optometrist Taxonomy 152W00000X · Licence 0618003365 (VA)

Record details

NPI number1255021606
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2023 (3 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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