Provider Demographics
NPI:1790468148
Name:LUMOS EYECARE LLC
Entity Type:Organization
Organization Name:LUMOS EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRANJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-227-1674
Mailing Address - Street 1:2 LINDA CT
Mailing Address - Street 2:
Mailing Address - City:LAURENCE HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 PROMENADE BLVD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3457
Practice Address - Country:US
Practice Address - Phone:732-898-2398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty