NPIMap

Individual provider Active NPI

Lindsay Luker, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1336297746
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009758 Issued in IL
Practice address
4740 N. Lincoln Ave.
Spex
Chicago, IL 60610
Phone
(773) 275-2900
NPI assigned
Jan 8, 2007
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009758 IL Primary

Addresses

Primary practice location

4740 N. Lincoln Ave.
Spex
Chicago, IL 60610

Mailing address

4740 N Lincoln Ave
Chicago, IL 60625-2247
Phone (773) 275-2900

Other identifiers 3

IdentifierTypeStateIssuer
1636706OtherILBLUE CROSS BLUE SHIELD
7235044OtherILAETNA
8825444OtherILMULTIPLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009758ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Industrial Optical Service Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service Inc Optometrist Past Accepting new patients
Robert J S Mack, MD PC PastSince Nov 7, 2016 Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
The Eye Site of Illinois, LLC Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1336297746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252247",
            "telephone_number": "773-275-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N. LINCOLN AVE.",
            "address_2": "SPEX",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "773-275-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKER",
        "first_name": "LINDSAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1636706",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "8825444",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.