LUCAS EYE CLINIC, INC (NPI# 1952882953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952882953 |
| Entity Type | Organization |
| Organization Name | LUCAS EYE CLINIC, INC |
| Practice Address |
639 Middleton Rd Winona MS 38967-2021 |
| Mailing Address |
Po Box 763 Winona MS 38967-0763 |
| Practice Telephone | 6622831781 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | JACQUELYN LUCAS (OPTOMETRIST) |
| Authorized Official Telephone | 6622831781 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 599 | MS | Eye and Vision Services Providers |
| Street Address |
639 MIDDLETON RD |
| City | WINONA |
| State | MS |
| Zip Code | 38967-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588782577 | Jacquelyn D Lucas | Optometrist | 639 Middleton Rd, Winona, MS 38967 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538630835 | Zachary Leon Selby | Occupational Therapist | 1521, 409 Tyler Holmes Dr, Winona, MS 38967 | 2018-12-12 |
| 1275937211 | Tonette Holmes | Community Health Worker | 720 Simpson Dr, Winona, MS 38967 | 2014-10-20 |
| 1124274196 | Family Health Care Clinic, Inc. | Clinic/Center | 123 N Front St, Winona, MS 38967 | 2008-08-11 |
| 1154447514 | Robert Manning | Dentist | 1612 Hwy 51 N, Winona, MS 38967 | 2007-03-21 |
| 1518034347 | Hammonds Pharmacy Inc | Pharmacy | 405c N Applegate, Winona, MS 38967 | 2006-11-29 |
| 1336256858 | Kilmichael Medical Suppliers Inc | Durable Medical Equipment & Medical Supplies | 107 N Front Street, Winona, MS 38967 | 2006-08-23 |
| 1285649855 | Tyler Holmes Memorial Hospital | Family Medicine | 700 Woodland Drive, Winona, MS 38967 | 2006-07-30 |
| 1437676962 | Roger Beardain | Pharmacist | 603 Middleton Rd, Winona, MS 38967 | 2017-08-25 |
| 1235323643 | Kilmichael Medical Supplies | Pharmacist | 107 N Front Street, Winona, MS 38967 | 2007-08-29 |
| 1609076702 | Kilmichael Medical Suppliers | Pharmacist | 107 N Front Street, Winona, MS 38967 | 2007-07-18 |
| Find all providers in zip 38967 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588782577 | Jacquelyn D Lucas | Optometrist | 639 Middleton Rd, Winona, MS 38967 | 2007-03-27 |
| 1497852040 | Christine Rennae Peterson | Optometrist | 1213 Gilmore Ave, Winona, MN 55987-2474 | 2006-09-17 |
| 1316998404 | Thomas Lee Dahlby | Optometrist | 405 Cottonwood Dr, Winona, MN 55987-1914 | 2006-05-13 |
| 1891762282 | Lane C Robeson | Optometrist | 1400 Homer Rd, Winona, MN 55987-6044 | 2006-03-03 |
| 1275982407 | Stephanie Lynn Laliberte | Optometrist | 855 Mankato Ave, Optometry Department, Winona, MN 55987-4868 | 2016-06-08 |
| 1750544383 | Robin Elizabeth Theye | Optometrist | 1400 Homer Rd, Winona, MN 55987-6044 | 2008-07-03 |
| 1699713859 | Sean K Thompson | Optometrist | 106 E 2nd St, Winona, MN 55987-3410 | 2006-06-02 |
| 1598711400 | Robert C Mcmahon | Optometrist | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-25 |
| 1356395024 | Bradlee G Wolner | Optometrist | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-19 |
| 1063499762 | Scott M Pastryk | Optometrist | 855 Mankato Ave, Winona, MN 55987-4868 | 2005-12-23 |
| Find all providers in WINONA | ||||
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| 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.