MEDICARE: LUNAR EYECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1053245175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNAR EYECARE LLC

Provider Business Mailing Address
First Line	:	12312 LIMA DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2047
Country	:	US
Telephone Number	:	240-462-9084
Fax Number	:

Provider Business Practice Location Address
First Line	:	1347 LAMBERTON DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3415
Country	:	US
Telephone Number	:	240-462-9084
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. ROSSANA LUNA
Credential	:	OD
Telephone Number	:	240-462-9084

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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