Kevin David Lucas in White Bear Lake - Optometrist
Kevin David Lucas - NPI 1407848427
Kevin David Lucas is a Optometrist in White Bear Lake, Minnesota. Kevin David Lucas practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin David Lucas is 1407848427. The last update date is 2007-07-08.
Kevin David Lucas's current location address is 4720 White Bear Pkwy, White Bear Lake, Minnesota. You can contact this provider via phone number 6514262747 and fax number 6514269838. The mailing address for Kevin David Lucas is 4720 White Bear Pkwy, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin David Lucas |
|---|---|
| Address | 4720 White Bear Pkwy, White Bear Lake, Minnesota |
| Phone Number | 6514262747 |
| Fax Number | 6514269838 |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1407848427 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4720 White Bear Pkwy |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551103336 |
| Phone Number | 6514262747 |
| Fax Number | 6514269838 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | LD2695000 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-01733 | MN | MEDICA | |
| HP27080 | MN | HEALTH PARTNERS | |
| P00116310 | MN | MEDICARE RAILROAD RETIREM | |
| 22-02780 | MN | MEDICA | |
| 244R0LU | MN | BLUE CROSS BLUE SHIELD | |
| 965401019270 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin David Lucas by the Centers for Medicare & Medicaid Services?
The Kevin David Lucas has been assigned the NPI (National Provider Identifier) 1407848427. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kevin David Lucas is located?
The Kevin David Lucas is situated at the following address: 4720 White Bear Pkwy, White Bear Lake, MN, 551103336.
What is Kevin David Lucas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin David Lucas is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When did Kevin David Lucas receive its 1407848427 assignment?
The Kevin David Lucas was assigned its 1407848427 on 2005-08-16, which is the date when this unique identifier was issued to the organization.
When was the information related to Kevin David Lucas most recently updated or refreshed?
The details pertaining to the Kevin David Lucas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.