Lumi Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LUMI EYE CARE PLLC

Practice address

3855 Glade Road
Colleyville, TX 76034

Phone

(817) 866-6633

Fax

(817) 888-8846

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Wayne Yip, ODNPI 1861913667

Title

Optometrist

Phone

(210) 882-8760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Jordan Wayne Yip, OD

  • Optometrist
  • Colleyville, TX
  • NPI 1861913667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1457967283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 GLADE RD STE 120",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344814",
            "telephone_number": "817-866-6633",
            "fax_number": "817-888-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 GLADE ROAD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-866-6633",
            "fax_number": "817-888-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMI EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "YIP",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-882-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Low T Mens Clinic LP
• Low-T Physicians of California PA
• Mary Alexandra Low, LCP
• Kimberly Ann Lowack, OTR
• Zachary Peter Lowrie, LPC
• Erika Lunsford
• Elizabeth Lusby, PHD
• Thomas Mark Lutrick, PA-C
• Angela M Lutts, LCSW
• Lilian R. Mabry, LPC

• Optometrist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.