Organization Active NPI

Lukens Optometry Inc

  • Optometrist
  • Alameda, CA
National Provider Identifier
1013155142
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12835T Issued in CA
Legal business name
LUKENS OPTOMETRY INC
Practice address
2651 Blanding Ave
Ste B
Alameda, CA 94501-1580
Phone
(510) 710-1625
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alexander P Lukens, O.D.NPI 1275533879
Title
President
Phone
(510) 710-1625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12835T CA Primary

Addresses

Primary practice location

2651 Blanding Ave
Ste B
Alameda, CA 94501-1580

Mailing address

2651 Blanding Ave
Ste B
Alameda, CA 94501-1580
Phone (510) 710-1625

Other names 1

  • Eyewise Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090610000261 CA Part B Supplier - Clinic/Group Practice 8820148042 Receives reassigned benefits from 1 practitioner
Practice locations: Alameda, CA

National Provider Directory

National Provider Directory

Locations

2651 Blanding Ave
Ste B
Alameda, CA 94501
Phone (510) 710-1625

1050 Marina Village Pkwy
Ste 104
Alameda, CA 94501
Phone (510) 207-5565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1013155142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "STE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-710-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "STE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-710-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKENS OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "LUKENS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-710-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12835T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewise Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.