Organization Active NPI

Stephen Lum OD PLLC

  • Optometrist
  • Spokane, WA
National Provider Identifier
1851644397
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60276564 Issued in WA
Legal business name
STEPHEN LUM OD PLLC
Practice address
4750 N Division St
Spokane, WA 99207-1411
Phone
(509) 482-0217
Fax
(509) 489-9197
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Stephen Lum, O.D.
Title
Optometrist
Phone
(619) 655-0313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 60276564 WA Primary

Addresses

Primary practice location

4750 N Division St
Spokane, WA 99207-1411

Mailing address

4750 N Division St
126
Spokane, WA 99207-1411
Phone (509) 483-0161

National Provider Directory

National Provider Directory

Locations

4750 N Division St
Spokane, WA 99207
Phone (509) 482-0217

4750 N Division St
Ste 126
Spokane, WA 99207
Phone (509) 482-0217

4750 N Division St
#1010
Spokane, WA 99207
Phone (509) 596-9879

Practitioners & affiliated clinicians

Practitioners 2

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": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1851644397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST",
            "address_2": "126",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071411",
            "telephone_number": "509-483-0161",
            "fax_number": "509-483-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071411",
            "telephone_number": "509-482-0217",
            "fax_number": "509-489-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LUM OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-655-0313",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60276564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.