Individual provider Active NPI

Christopher T Luft, O.D.

  • Optometrist
  • Woodstock, GA
National Provider Identifier
1063851327
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003126 Issued in GA
Practice address
1010 Wyngate Pkwy Ste 201
Woodstock, GA 30189
Phone
(770) 926-2858
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003126 GA Primary
Optometrist 152W00000X 0618002241 VA

Addresses

Primary practice location

1010 Wyngate Pkwy Ste 201
Woodstock, GA 30189

Mailing address

1010 Wyngate Pkwy Ste 201
Woodstock, GA 30189-6990
Phone (770) 926-2858

Other practice location 1

9875 Medlock Bridge Pkwy Ste 100
Johns Creek, GA 30022-6640
Phone (770) 813-0026 ext. 122

Other practice location 2

9875 Medlock Bridge Pkwy Ste 100
Johns Creek, GA 30022-6640
Phone (770) 813-0026 ext. 122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318002860 GA Practitioner - Optometry 3072853670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven J Keith OD PCGroup PAC ID 9335482645, 4 clinicians

Practice addresses (Care Compare)

1010 Wyngate Pkwy
Suite 201
Woodstock, GA 30189-6990
Phone (770) 926-2858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003126GAMDOptometrist
0618002241VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J Keith OD PC Optometrist CurrentSince Aug 22, 2019 Accepting new patients

Locations

1010 Wyngate Pkwy
Ste 201
Woodstock, GA 30189
Phone (770) 926-2858

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1063851327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WYNGATE PKWY STE 201",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896990",
            "telephone_number": "770-926-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WYNGATE PKWY STE 201",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-926-2858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9875 Medlock Bridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300226640",
            "country_code": "US",
            "telephone_number": "770-813-0026 x122",
            "fax_number": "770-813-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9875 Medlock Bridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300226640",
            "country_code": "US",
            "telephone_number": "770-813-0026 x122",
            "fax_number": "770-813-0029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUFT",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003126",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.