Provider Demographics
NPI:1972585412
Name:LUNDY, JAMES D (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:LUNDY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2725 OLD MILTON PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009
Mailing Address - Country:US
Mailing Address - Phone:770-475-1777
Mailing Address - Fax:770-475-1794
Practice Address - Street 1:2725 OLD MILTON PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009
Practice Address - Country:US
Practice Address - Phone:770-475-1777
Practice Address - Fax:770-475-1794
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA886T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA410004929OtherRAILROAD MEDICARE
GA410004929OtherRAILROAD MEDICARE
GA511I410069Medicare PIN