Lumina Optometry Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

License

9594T Issued in CA

Legal business name

LUMINA OPTOMETRY INCORPORATED

Practice address

1924 4TH St Ste C
San Rafael, CA 94901-2698

Phone

(415) 457-2020

Fax

(415) 457-2047

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Dean Salman, O.D.NPI 1366474413

Title

Owner

Phone

(415) 457-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey Dean Salman, OD

  • Optometrist
  • San Rafael, CA
  • NPI 1366474413

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Brian Hikaru Kitajima, O.D.

  • Optometrist
  • Vallejo, CA
  • NPI 1700016219
  NPD

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1275877490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 4TH ST STE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012698",
            "telephone_number": "415-457-2020",
            "fax_number": "415-457-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 4TH ST STE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012698",
            "telephone_number": "415-457-2020",
            "fax_number": "415-457-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA OPTOMETRY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-457-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9594T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarisse Valerie Lula, MA, MFT
• Marc F Lum, P.T.
• Ryan S. Lum, MD
• Sarah Lum
• Stephanie Ann Lum, L.AC.,R.C.P.
• Virginia Lundquist, RN
• Lauren Rose Lupia II
• Anna Lushtak, AMFT, APCC
• Evan James Luxenberg, MD
• Luxottica Retail North America Inc

• All providers in San Rafael, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.