Lumen Optical, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LUMEN OPTICAL, LLC

Practice address

261 W Data Dr
Draper, UT 84020-2372

Phone

(801) 316-5508

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Heather Allen

Title

Privacy Officer

Phone

(801) 316-5508

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1134575178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W GRAND AVE",
            "address_2": "UNIT 130",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261060",
            "telephone_number": "801-316-5508",
            "fax_number": "801-316-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W DATA DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202372",
            "telephone_number": "801-316-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "801-316-5508"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerika Lowe
• Richard Albert Lowe, RPH
• Alyssa Lowman
• Robert M Lucero, DDS
• Abrie Luke
• Morgan Lund, DPT
• Janessa Marie Everett Lundquist, BCBA
• Dalton Lunn
• Hannah Lunt
• Samantha Lutz

• Optometrist in Draper, UT
• Providers in Draper, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.