Randall T. Lum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA10139T Issued in CA

Practice address

2278 Westborough Blvd Ste 204
South San Francisco, CA 94080-5438

Phone

(650) 589-7198

Fax

(650) 589-1482

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1679628010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 WESTBOROUGH BLVD STE 204",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805438",
            "telephone_number": "650-589-7198",
            "fax_number": "650-589-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 WESTBOROUGH BLVD STE 204",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805438",
            "telephone_number": "650-589-7198",
            "fax_number": "650-589-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "RANDALL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA10139T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SD0101490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ching Lue, DDS
• Elaine CHI Ling Lui, DDS
• Fiona Lui
• Fu Sang Luk, PHARMD
• Gregory C. Lukaszewicz, MD
• Rowen Lummus
• Manuel Luna, M.D.
• Thomas D. Lupton, MD
• Lawrence B. Lusk, MD
• Jamison Joel Ly, PT

• Optometrist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.