BRIANNE MARIE LUCK (NPI# 1588970479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588970479 |
| Entity Type | Individual |
| Full Name | BRIANNE MARIE LUCK |
| Practice Address |
2813 Kenborg Hls Jefferson City MO 65109-1002 |
| Practice Telephone | 5733532760 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | B1775413 | TX | Emergency Medical Service Providers |
| N | 156FX1101X |
Technician/Technologist Specialization: Ophthalmic Assistant |
Eye and Vision Services Providers | ||
| Y | 156FX1202X |
Technician/Technologist Specialization: Optometric Technician |
Eye and Vision Services Providers |
| Street Address |
2813 KENBORG HLS |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 156FX1202X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optometric Technician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689971673 | Christina Blandon Clymer | Technician/Technologist | 4430 Missouri Ave # 1263, Fort Leonard Wood, MO 65473-9098 | 2011-02-28 |
| 1346557568 | Marinda Ann Earl | Technician/Technologist | 123 Missouri Ave. Eent Clinic, Jeneral Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473 | 2010-09-09 |
| 1891002010 | Brant William Fechter | Technician/Technologist | 123 Missouri Ave., Eent Clinic, Jeneral Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473 | 2010-09-09 |
| 1700193174 | Erin Renee Burnette | Technician/Technologist | 126 Missouri Ave, Ft. Leonard Wood, MO 65473 | 2010-09-08 |
| 1700192937 | Jennifer Lynn Degon | Technician/Technologist | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-08-25 |
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on BRIANNE MARIE LUCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.