Organization Active NPI

Luminous Eye Care, LLC

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1639930068
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LUMINOUS EYE CARE, LLC
Practice address
2801 Memorial Pkwy SW Ste 193
Huntsville, AL 35801-5672
Phone
(256) 533-6363
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Shannon Marr Walker, ODNPI 1649867458
Title
Owner/Optometrist
Phone
(256) 425-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2801 Memorial Pkwy SW Ste 193
Huntsville, AL 35801-5672

Mailing address

2801 Memorial Pkwy SW Ste 193
Huntsville, AL 35801-5672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416000569 AL Part B Supplier - Clinic/Group Practice 0749629335 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

2801 Memorial Pkwy SW
Ste 193
Huntsville, AL 35801
Phone (256) 534-8423

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1639930068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MEMORIAL PKWY SW STE 193",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEMORIAL PKWY SW STE 193",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015672",
            "telephone_number": "256-533-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MARR WALKER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "256-425-8363",
        "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": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.