Individual provider Active NPI

Lana Jean Lukas, O.D.

  • Optometrist
  • Clarksville, IN
National Provider Identifier
1265728356
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003674A Issued in IN
Practice address
757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269
Phone
(812) 288-8566
Fax
(812) 284-2326
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003674A IN Primary
Optometrist 152W00000X 1858DT KY

Addresses

Primary practice location

757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269

Mailing address

326 Coppercreek Cir
Louisville, KY 40222-6808
Phone (812) 327-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120620000075 KY Practitioner - Optometry 4183892722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Eyes, IncGroup PAC ID 6002052990, 2 clinicians

Practice addresses (Care Compare)

1707 Cedar Grove Rd
Suite 3
Shepherdsville, KY 40165-8572
Phone (502) 543-1624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003674AINMDOptometrist
1858DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Eyes, Inc. Optometrist CurrentSince Jun 5, 2018 Accepting new patients

Locations

1707 Cedar Grove Rd
Ste 3
Shepherdsvlle, KY 40165
Phone (502) 543-1624

Organizations & group practices 1

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1265728356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 COPPERCREEK CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226808",
            "telephone_number": "812-327-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292269",
            "telephone_number": "812-288-8566",
            "fax_number": "812-284-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKAS",
        "first_name": "LANA",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003674A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1858DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.