Individual provider Active NPI

Luc R Joncas, O.D.

  • Optometrist
  • Lansing, MI
National Provider Identifier
1184784308
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002969 Issued in MI
Practice address
5346 W Saginaw Hwy
Lansing Mall
Lansing, MI 48917-2455
Phone
(517) 321-5545
Fax
(517) 321-8344
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002969 MI Primary

Addresses

Primary practice location

5346 W Saginaw Hwy
Lansing Mall
Lansing, MI 48917-2455

Mailing address

3918 Hazy LN
Okemos, MI 48864-5226
Phone (517) 321-5545

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140730001002 MI Practitioner - Optometry 4082711049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Vision IncGroup PAC ID 9931257110, 41 clinicians

Practice addresses (Care Compare)

609 N Canal Rd
SVS Vision Optical Centers
Lansing, MI 48917-8965
Phone (517) 323-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002969MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jun 1, 2014 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jun 1, 2014 Accepting new patients
SVS Vision Inc Optometrist PastSince Dec 28, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients

Locations

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

609 N Canal Rd
#C
Lansing, MI 48917

609 N Canal Rd
Lansing, MI 48917
Phone (517) 323-8221

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

4930 Marsh Rd
Ste 5
Okemos, MI 48864

3371 Tittabawassee Rd
Unit 150
Saginaw, MI 48604
Phone (989) 791-1044

22320 Goddard Rd
Taylor, MI 48180
Phone (313) 299-8870

3110 Van Horn Rd
Trenton, MI 48183
Phone (734) 675-8197

29660 S Wixom Rd
Wixom, MI 48393
Phone (248) 313-5500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1184784308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 HAZY LN",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645226",
            "telephone_number": "517-321-5545",
            "fax_number": "517-321-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 W SAGINAW HWY",
            "address_2": "LANSING MALL",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172455",
            "telephone_number": "517-321-5545",
            "fax_number": "517-321-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONCAS",
        "first_name": "LUC",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.