Active NPI
Lumen Eyecare LLC
- Optometrist
- Urbandale, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LUMEN EYECARE LLC
- Practice address
- 14111 Douglas Parkway
Urbandale, IA 50323 - Phone
- (515) 339-1836
- NPI assigned
- Sep 6, 2024
- Last updated
- Jan 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jenessa Lock, OD
- Title
- Optometry Owner
- Phone
- (515) 339-1836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
14111 Douglas Parkway
Urbandale, IA 50323
Mailing address
350 NW 67TH PL
Des Moines, IA 50313-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Lumen Eyecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Urbandale, IA
- NPI 1356177455
Locations
14111 Douglas Pkwy
Urbandale, IA 50323
Phone (515) 339-1836
14111 Douglas Pkwy
Ste 101
Urbandale, IA 50323
Phone (515) 212-3135
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- West Des Moines, IA
- NPI 1093895781
-
- Optometrist
- West Des Moines, IA
- NPI 1649350331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1881429991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NW 67TH PL",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503131023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14111 DOUGLAS PARKWAY",
"city": "URBANDALE",
"state": "IA",
"postal_code": "50323",
"telephone_number": "515-339-1836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMEN EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-06",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "LOCK",
"authorized_official_first_name": "JENESSA",
"authorized_official_title_or_position": "OPTOMETRY OWNER",
"authorized_official_telephone_number": "515-339-1836",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.