Timothy Michael Lucas in Ballwin - Optometrist
Timothy Michael Lucas - NPI 1154476455
Timothy Michael Lucas is a Optometrist in Ballwin, Missouri. Timothy Michael Lucas practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Timothy Michael Lucas is 1154476455. The last update date is 2016-10-25.
Timothy Michael Lucas's current location address is 15933 Clayton Rd Ste 201, Ballwin, Missouri. You can contact this provider via phone number 6362004393 and fax number 6365270766. The mailing address for Timothy Michael Lucas is 15933 Clayton Rd Ste 201, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Michael Lucas |
|---|---|
| Address | 15933 Clayton Rd Ste 201, Ballwin, Missouri |
| Phone Number | 6362004393 |
| Fax Number | 6365270766 |
| Sole Proprietor | N |
| Credentials | O. D. |
NPI Number Detail
| NPI Number | 1154476455 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2016-10-25 |
Provider Mailing Address Detail
| Address | 15933 Clayton Rd Ste 201 |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630112172 |
| Phone Number | 6362004393 |
| Fax Number | 6365270766 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TO2350 |
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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 |
|---|---|---|---|
| 2202044 | MO | UNITED HEALTHCARE | |
| 5268423 | MO | CIGNA HEALTHCARE | |
| 208725 | MO | HEALTHLINK | |
| 32313 | MO | ANTHEM BLUE CROSS BLUE SH | |
| 53491 | MO | GROUP HEALTH PLAN |
Post Comment/ Review Below
What is the Timothy Michael Lucas's 1154476455?
The Timothy Michael Lucas's NPI (National Provider Identifier) Number is 1154476455. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Timothy Michael Lucas?
The Timothy Michael Lucas is physically situated at 15933 Clayton Rd Ste 201, in the city of Ballwin, state of MO, with the postal code 630112172.
What is Timothy Michael Lucas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy Michael Lucas is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date was the 1154476455 assigned to Timothy Michael Lucas?
The Timothy Michael Lucas was issued its 1154476455 on 2007-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Timothy Michael Lucas's information last updated?
The Timothy Michael Lucas's information was last updated on 2016-10-25.
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