Organization Active NPI

Lumino Vision

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1649992595
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LUMINO VISION
Practice address
1500 Rivery Blvd Ste 2005
Georgetown, TX 78628-3064
Phone
(512) 686-3424
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Jennifer Wood, ODNPI 1942252820
Title
Owner/Optometrist
Phone
(512) 686-3424

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1500 Rivery Blvd Ste 2005
Georgetown, TX 78628-3064

Mailing address

1500 Rivery Blvd Ste 2005
Georgetown, TX 78628-3064
Phone (512) 686-3424

National Provider Directory

National Provider Directory

Locations

1500 Rivery Blvd
Ste 2005
Georgetown, TX 78628
Phone (512) 686-3424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1649992595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RIVERY BLVD STE 2005",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283064",
            "telephone_number": "512-686-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RIVERY BLVD STE 2005",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283064",
            "telephone_number": "512-686-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINO VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "512-686-3424",
        "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 Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.