Healthcare Provider Details

I. General information

NPI: 1053245175
Provider Name (Legal Business Name): LUNAR EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1347 LAMBERTON DR
SILVER SPRING MD
20902-3415
US

IV. Provider business mailing address

12312 LIMA DR
SILVER SPRING MD
20904-2047
US

V. Phone/Fax

Practice location:
  • Phone: 240-462-9084
  • Fax:
Mailing address:
  • Phone: 240-462-9084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSSANA LUNA
Title or Position: OPTOMETRIST
Credential: OD
Phone: 240-462-9084