Lum Eye and Vision Center a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LUM EYE AND VISION CENTER A MEDICAL CORPORATION

Practice address

3088 Telegraph Rd
Suite a
Ventura, CA 93003-3234

Phone

(805) 648-6891

Fax

(805) 648-6386

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Keith Allen Wintermute, MDIV

Title

Vice President

Phone

(805) 648-6891

Specialties & licenses 1

Addresses

Other names 1

• Ventura Ophthalmology Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lum Eye and Vision Center, a Medical Corporation

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1992971584

  O20090331000192

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

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

• Melody Fitch, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1255695219
  Medicare reassignment Care Compare group NPD
• Jewel Liao, MD

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1114216249
  Medicare reassignment Care Compare group NPD
• Bryant Jay Lum, M.D.

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1104860691
  Medicare reassignment Care Compare group NPD
• Felicia Jolie Lew, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1134130313
  Medicare reassignment Care Compare group
• Murtaza Saifee, MD

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1225569940
  Medicare reassignment NPD

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1861633323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033234",
            "telephone_number": "805-648-6891",
            "fax_number": "805-648-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033234",
            "telephone_number": "805-648-6891",
            "fax_number": "805-648-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUM EYE AND VISION CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "WINTERMUTE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "805-648-6891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MDIV"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura Ophthalmology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edgar A. Lueg, MD
• Shalise Lugo, PSYD
• Jessica Rae Lugotoff, B.A.
• Alyssa Roxanne Lujan
• Abigail Anne Lukens, DO
• Lum Eye and Vision Center, a Medical Corporation
• Bryant Jay Lum, M.D.
• Derek Jordon Ray Luna
• Desiree Luna, CHW
• Justine Luna, RBT

• Ophthalmology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.