Selene Lum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13717 Issued in CA

Practice address

1720 E Main St
Woodland, CA 95776-6252

Phone

(530) 669-7075

NPI assigned

Aug 6, 2009

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 CA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Eye Center Optometrics, a Professional Corporation

  • Optometrist
  • Citrus Heights, CA
  • NPI 1245369024
  Medicare reassignment NPD
• Eye Center Optometrics, a Professional Corporation

  • Optometrist
  • Citrus Heights, CA
  • NPI 1619440567
  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Pearle Visioncare, Inc

  • Eyewear Supplier
  • San Jose, CA
  • NPI 1174688188
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1881825958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN",
            "address_2": "STE 130",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E MAIN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766252",
            "telephone_number": "530-669-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "SELENE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia B Lowe, PA-C
• Stephanie Loza
• Kieu-Loan Luc, DO
• Jessica Raye Lucia
• Matthew Thomas Lugo
• Hanh Luong
• Yen Hai Nguyen Luong, DDS
• Douglas B Lurie, M.D.
• Brant Joseph Lutsi, M.D.
• Lynn E. Ly, LCSW

• Optometrist in Woodland, CA
• Providers in Woodland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.