LUMINA OPTOMETRY INCORPORATED
NPI 1275877490
Optometrist in San Rafael, CA
About Lumina Optometry Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUMINA OPTOMETRY INCORPORATED (NPI 1275877490) is a healthcare organization registered as an optometrist in San Rafael, California and active in the NPI registry since November 2012. The organization lists Jeffrey Dean Salman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lumina Optometry Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lumina Optometry Incorporated, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lumina Optometry Incorporated's NPI number?
The NPI number for Lumina Optometry Incorporated is 1275877490. It was assigned to this organization in the NPPES registry on November 15, 2012.
Where is Lumina Optometry Incorporated located?
Lumina Optometry Incorporated is located at 1924 4th St Ste C, San Rafael, CA 94901. The listed phone number is (415) 457-2020.
What is Lumina Optometry Incorporated's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lumina Optometry Incorporated enrolled in Medicare?
Yes. Lumina Optometry Incorporated is registered in the Medicare PECOS enrollment system.
When is Lumina Optometry Incorporated's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lumina Optometry Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lumina Optometry Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lumina Optometry Incorporated was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lumina Optometry Incorporated · NPI 1275877490
Optometrist organization in San Rafael, California. Organization record, active in the CMS NPPES registry since November 15, 2012.
## Identity
- **NPI:** 1275877490 (Entity type: Organization)
- **Enumerated:** November 15, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Salman, OWNER
## Practice location
- **Address:** 1924 4TH ST STE C, San Rafael, CA 94901-2698
- **Phone:** (415) 457-2020 · **Fax:** (415) 457-2047
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275877490) · Data from the CMS NPPES public registry.