Individual provider Active NPI

Jessica Lynn Lund, O.D.

  • Optometrist
  • Palm City, FL
National Provider Identifier
1881047348
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005232 Issued in FL
Practice address
1459 SW Seahawk Way
Palm City, FL 34990-4249
Phone
(561) 827-8865
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005232 FL Primary

Addresses

Primary practice location

1459 SW Seahawk Way
Palm City, FL 34990-4249

Mailing address

1459 SW Seahawk Way
Palm City, FL 34990-4249
Phone (561) 827-8865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170425002655 FL Practitioner - Optometry 1658658869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J.S. Davis LLCGroup PAC ID 4385902006, 4 clinicians
Hillmoor Optometric PLLCGroup PAC ID 2163858796, 5 clinicians

Practice addresses (Care Compare)

2660 SW Immanuel Dr
Palm City, FL 34990-2738
Phone (772) 283-1191

8960 S Federal Hwy
Port St Lucie, FL 34952-3403
Phone (772) 337-6376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005232FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lund Eyecare Optometrist Current Accepting new patients
Hillmoor Optometric PLLC Optometrist CurrentSince Nov 14, 2020 Accepting new patients
J.S. Davis L.L.C. Optometrist CurrentSince Sep 9, 2024 Accepting new patients
Stephen B Allison Optometrist PastSince Sep 9, 2024 Accepting new patients

Locations

2660 SW Immanuel Dr
Palm City, FL 34990
Phone (772) 283-1191

8960 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 337-6376

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1881047348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 SW SEAHAWK WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904249",
            "telephone_number": "561-827-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 SW SEAHAWK WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904249",
            "telephone_number": "561-827-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.