Damian Lue, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3021 Issued in FL

Legal business name

DAMIAN LUE, O.D., P.A.

Practice address

5851 NW 177TH St
Hialeah, FL 33015-5127

Phone

(305) 558-4326

Fax

(305) 826-2841

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Damian Francis Lue, O.D.NPI 1942394093

Title

President

Phone

(305) 558-4326

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Damian F Lue, O.D.

  • Optometrist
  • Hialeah, FL
  • NPI 1942394093
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1689902272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 NW 177TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155127",
            "telephone_number": "305-558-4326",
            "fax_number": "305-826-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 NW 177TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155127",
            "telephone_number": "305-558-4326",
            "fax_number": "305-826-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIAN LUE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "LUE",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-4326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620227600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.