LUMEN OPTOMETRIC
NPI 1780123745
Optometrist in Sierra Madre, CA

Active since February 23, 2017
14 W SIERRA MADRE BLVD, SIERRA MADRE, CA 91024(626) 921-0199 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, Nov 12, 2021, Apr 27, 2017 and 1 more (4 updates tracked since 2017).

About Lumen Optometric NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMEN OPTOMETRIC (NPI 1780123745) is a healthcare organization registered as an optometrist in Sierra Madre, California and active in the NPI registry since February 2017. The organization lists Eric To, President, as its authorized official.

NPPES Registry Identity

NPI1780123745
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLUMEN OPTOMETRIC
Location Address14 W SIERRA MADRE BLVDSierra Madre, CA 91024-2434
Mailing Address14 W Sierra Madre BlvdSierra Madre, CA 91024-2434 · (626) 921-0199
Organization SubpartNo
Authorized OfficialEric ToPresident · (626) 921-0199
Enumeration DateFebruary 23, 2017
Last NPPES UpdateApril 29, 20244 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1780123745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 14427TLG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14 W SIERRA MADRE BLVD, Sierra Madre, CA 91024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumen Optometric is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lumen Optometric, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1811250954
14 W SIERRA MADRE BLVD
Sierra Madre, CA 91024
(626) 921-0199
✔ PECOSSame address
Optometry
NPI 1598381410
14 W SIERRA MADRE BLVD
Sierra Madre, CA 91024
(626) 507-2724
✔ PECOSSame address
Optometry
NPI 1881487502
5865 W UTOPIA RD
Glendale, AZ 85308
(623) 537-6000
✔ PECOS✔ Accepts Medicare339 mi

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 Lumen Optometric's NPI number?

The NPI number for Lumen Optometric is 1780123745. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Lumen Optometric located?

Lumen Optometric is located at 14 W Sierra Madre Blvd, Sierra Madre, CA 91024. The listed phone number is (626) 921-0199.

What is Lumen Optometric's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lumen Optometric enrolled in Medicare?

Yes. Lumen Optometric is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lumen Optometric?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Lumen Optometric. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lumen Optometric accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Lumen Optometric as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lumen Optometric was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.