Individual provider Active NPI

Alexander Paul Lukens, O.D.

  • Optometrist
  • Alameda, CA
National Provider Identifier
1275533879
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12835 Issued in CA
Practice address
2651 Blanding Ave
Suite B
Alameda, CA 94501-1580
Phone
(510) 748-9749
Fax
(510) 748-9869
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12835 CA Primary

Addresses

Primary practice location

2651 Blanding Ave
Suite B
Alameda, CA 94501-1580

Mailing address

2651 Blanding Ave
Suite B
Alameda, CA 94501-1580
Phone (510) 748-9749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090610000256 CA Practitioner - Optometry 4284784406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 Marina Village Pkwy
Suite 104
Alameda, CA 94501-1033
Phone (510) 748-9749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lukens Optometry Inc Optometrist CurrentSince Jun 10, 2009 Accepting new patients

Locations

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

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

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1275533879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "SUITE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-748-9749",
            "fax_number": "510-748-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "SUITE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-748-9749",
            "fax_number": "510-748-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENS",
        "first_name": "ALEXANDER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.