Kaitlyn Elizabeth Lukefahr, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2018020161 Issued in MO

Practice address

21530 Hwy 32
Ste Genevieve, MO 63670-8813

Phone

(573) 883-5665

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmington Vision Care LLCGroup PAC ID 1456606854, 3 clinicians

Klein Eye Care I IncGroup PAC ID 3476634148, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farmington Vision Care LLC

  • Optometrist
  • Farmington, MO
  • NPI 1992206213
  Medicare reassignment Care Compare group NPD
• Klein Eye Care I, Inc

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1972627511
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1154815462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21530 HWY 32",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 HWY 32",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKEFAHR",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018020161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony C Lam, MD
• Erika Leung, M.D.
• Cindy Litterst, CHW
• Janet Carron Loida, R.P.T.
• Philip Francis Loida, D.D.S.
• Ginger G Luse, MCD,SLP-CCC
• Renee L. Luthy, PTA
• Erica K Mazurkiewicz, LPC
• Mary A McCullough, ANP
• Mark A McKenzie, R.PH

• Optometrist in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.