Luminary Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LUMINARY EYE CARE, LLC

Practice address

1100 Johnson Ferry Rd Ste 120
Marietta, GA 30068-2700

Phone

(334) 714-4368

NPI assigned

Dec 19, 2019

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jinen Shah, ODNPI 1629560032

Title

Owner

Phone

(334) 714-4368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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, and the practitioner matching its NPPES authorized official.

• Jinen Shah, OD

  • Optometrist
  • Marietta, GA
  • NPI 1629560032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1619515707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 TOWN BLVD NE APT 307",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193066",
            "telephone_number": "334-714-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 120",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682700",
            "telephone_number": "334-714-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JINEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-714-4368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Lue
• Morgan Ashley Luera
• Gordon Luk, MD
• Sarah Victoria Luksik
• Yamma Brown Lumar, PHARM.D.
• Amanda Lundberg
• Gina P Lundberg, MD
• Sherri M Lundquist, P.T.
• Daniel Lundrigan, D.C.
• Tenecia Lanae Luster

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.