Organization Active NPI

Michael Lum, O.D., a Professional Corporation

  • Optometrist
  • Irvine, CA
National Provider Identifier
1619508934
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL LUM, O.D., A PROFESSIONAL CORPORATION
Practice address
840 Spectrum Center Dr
Irvine, CA 92618-4959
Phone
(949) 419-9914
Fax
(636) 246-7388
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Michael J Lum, OD
Title
President
Phone
(949) 419-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

840 Spectrum Center Dr
Irvine, CA 92618-4959

Mailing address

840 Spectrum Center Dr
Irvine, CA 92618-4959
Phone (949) 419-9914

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1619508934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SPECTRUM CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184959",
            "telephone_number": "949-419-9914",
            "fax_number": "636-246-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SPECTRUM CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184959",
            "telephone_number": "949-419-9914",
            "fax_number": "636-246-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LUM, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-419-9914",
        "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": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.