Individual provider Active NPI

James D Lundy, O.D.

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1972585412
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
886T Issued in GA
Practice address
2725 Old Milton Parkway
Suite B
Alpharetta, GA 30009
Phone
(770) 475-1777
Fax
(770) 475-1794
NPI assigned
Nov 18, 2005
Last updated
Jul 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 886T GA Primary

Addresses

Primary practice location

2725 Old Milton Parkway
Suite B
Alpharetta, GA 30009

Mailing address

2725 Old Milton Parkway
Suite B
Alpharetta, GA 30009
Phone (770) 475-1777

Other identifiers 1

IdentifierTypeStateIssuer
410004929OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080508000211 GA Practitioner - Optometry 8325127848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
886TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Eye Care Optometrist CurrentSince Oct 1, 2013 Accepting new patients

Locations

2725 Old Milton Pkwy
Ste B
Alpharetta, GA 30009
Phone (770) 475-1777

5315 Windward Pkwy
Ste F
Alpharetta, GA 30004
Phone (678) 393-2025

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372896000000",
    "number": "1972585412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 OLD MILTON PARKWAY",
            "address_2": "SUITE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "770-475-1777",
            "fax_number": "770-475-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 OLD MILTON PARKWAY",
            "address_2": "SUITE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "770-475-1777",
            "fax_number": "770-475-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "886T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410004929",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.