Caitlyn Alexia Lubo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6678 Issued in FL

Practice address

4413 Lyons Rd Ste 101
Coconut Creek, FL 33073-4383

Phone

(954) 975-9181

NPI assigned

Jun 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promenade Eye Care, LLC

  • Optometrist
  • Coconut Creek, FL
  • NPI 1225457716
  Medicare reassignment NPD

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1619861101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 POINCIANA PL APT 106",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244819",
            "telephone_number": "401-585-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 LYONS RD STE 101",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734383",
            "telephone_number": "954-975-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBO",
        "first_name": "CAITLYN",
        "middle_name": "ALEXIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "6678",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "6678",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Logar, M.D.
• Cynthia Lomasky, PHARM. D.
• Gabriela Lopez Botero, P.A.-C
• Jaybelle Annie Lora
• Gina Lowy, PA
• Karine Lucien, PHARMD
• Martin P Ludwig
• Luis F Gomez DDS PA
• Piper Lukas, MS
• Eric Jay Lullove, D.P.M.

• Optometrist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.