Andrew S Luck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0038951 Issued in NY

Practice address

3079 State Route 28
Herkimer, NY 13350

Phone

(315) 866-4020

Fax

(315) 866-4026

NPI assigned

Nov 2, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

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

State University of New York - State College Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Luck and Golden Optometrists PCGroup PAC ID 0244381804, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Luck & Golden Optometrists PC

  • Optometrist
  • Herkimer, NY
  • NPI 1942389945
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1326127325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 STATE ROUTE 28",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501041",
            "telephone_number": "315-866-4020",
            "fax_number": "315-866-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 STATE ROUTE 28",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "13350",
            "telephone_number": "315-866-4020",
            "fax_number": "315-866-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0038951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHSCO",
            "identifier": "0010942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10069694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161606726LUI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "5950L5",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Lee, DO
• Jackie Livingston
• Shane M Louis, RPH
• Julie Lovenberg, LMSW
• Demetria Rochelle Luces, LMSW
• Kristin Marie Luke, FNP
• Mark A Lundquist, LCSW-R
• Aprile Lynn Lynch, LPN
• Debra Ann Lynch
• Eugene J Lyszczarz

• Optometrist in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.