Active NPI
Arthur Bing Lum Jr., O.D.
- Optometrist
- Kent, WA
National Provider Identifier
1649377516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1600
- Practice address
- 11120 SE Kent Kangley Rd
Kent, WA 98030-7708 - Phone
- (253) 859-0942
- Fax
- (253) 859-6345
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1600 | WA | Primary |
Addresses
Primary practice location
11120 SE Kent Kangley Rd
Kent, WA 98030-7708
Mailing address
11120 SE Kent Kangley Rd
Kent, WA 98030-7708
Phone (253) 859-0942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002798 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061229000250 | WA | Practitioner - Optometry | 4486654282 | Practice locations: Kent, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11120 SE Kent Kangley Rd
Kent, WA 98030-7708
Phone (253) 859-0942
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649377516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307708",
"telephone_number": "253-859-0942",
"fax_number": "253-859-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307708",
"telephone_number": "253-859-0942",
"fax_number": "253-859-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "ARTHUR",
"middle_name": "BING",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002798",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.