Individual provider Active NPI

Lucas H. Spiker, O.D.

  • Optometrist
  • Marion, VA
National Provider Identifier
1275761652
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001857 Issued in VA
Practice address
1020 Terrace Dr
Ste. 100
Marion, VA 24354-4392
Phone
(276) 783-5157
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 0618001857 VA Primary

Addresses

Primary practice location

1020 Terrace Dr
Ste. 100
Marion, VA 24354-4392

Mailing address

1020 Terrace Dr
Ste. 100
Marion, VA 24354-4392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090923000539 VA Practitioner - Optometry 7719033307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Professional Group PLLCGroup PAC ID 5799040184, 11 clinicians

Practice addresses (Care Compare)

1020 Terrace Dr
Suite 100
Marion, VA 24354-4392
Phone (276) 783-5157

Merit-based Incentive Payment System (MIPS)

Final score
72.65 of 100Reported as group
Quality
45.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001857VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Empire Eye Physicians PLLC PastSince Jul 17, 2012 Accepting new patients
Johnson City Eye Clinic PC Past Accepting new patients
Valerie J. Christian, O.D., P.C. Optometrist Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1275761652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "STE. 100",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "STE. 100",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIKER",
        "first_name": "LUCAS",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.