Tiffany Luke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-D38-TA-A24 Issued in AL

Practice address

210 Hudson St
Cumming, GA 30040

Phone

(770) 887-9171

NPI assigned

Aug 17, 2015

Last updated

Apr 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Family Eyecare IncGroup PAC ID 1153595012, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Family Eyecare Inc

  • Optometrist
  • Cumming, GA
  • NPI 1689958183
  Medicare reassignment Care Compare group NPD
• Legacy Family Eyecare at Flowery Branch LLC

  • Optometrist
  • Flowery Branch, GA
  • NPI 1215875802
  NPD (past)
• North Georgia Eye Clinic, PC

  • Ophthalmic Technician/Technologist
  • Gainesville, GA
  • NPI 1497882500

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1780050526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HUDSON ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402432",
            "telephone_number": "770-887-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HUDSON ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-887-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 Highway 280",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352425028",
            "country_code": "US",
            "telephone_number": "205-408-4069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4616 Highway 280",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352425028",
            "country_code": "US",
            "telephone_number": "205-408-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "TIFFANY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D38-TA-A24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliyannah Mercedes Louisa
• Kassie Love
• Joey Low, MD
• Alison Lucas
• Lara Johnson Lueder
• Ludy Lukose, M.D
• Lumene Newborn Concierge LLC
• Makena Nicholle Lundin, RBT
• Maighread Eve Lutz, RN
• Luxottica of America Inc (Lenscrafters #5605)

• Optometrist in Cumming, GA
• Providers in Cumming, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.

Verify at the official NPI Registry.