Lucent Optometry Montclair Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LUCENT OPTOMETRY MONTCLAIR INC

Practice address

471 N Central Ave
Upland, CA 91786-4219

Phone

(909) 788-3433

Fax

(099) 129-8096

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Jessika Benjamin, O.D.NPI 1568815611

Title

Ceo

Phone

(909) 788-3433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessika Benjamin, O.D.

  • Optometrist
  • Upland, CA
  • NPI 1568815611
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1124595368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 SORIANO WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365955",
            "telephone_number": "909-519-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N CENTRAL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864219",
            "telephone_number": "909-788-3433",
            "fax_number": "099-129-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT OPTOMETRY MONTCLAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JESSIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-788-3433",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lozano
• LPW and Associates
• Jonathan Lu, PT, DPT
• Jesus Lua, M.D.
• Christine Lucaciu
• Daniel Lucero
• Sandee Lucero, N.P.
• Heather Danielle Lucier, CATC 1
• Belinda Luck
• Melanie Lujan

• Optometrist in Upland, CA
• Providers in Upland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.