Individual provider Active NPI

Lucas Stephen Flamich, O.D.

  • Optometrist
  • Dubuque, IA
National Provider Identifier
1437536752
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
092574 Issued in IA
Practice address
505 Cedar Cross Rd
Dubuque, IA 52003-7955
Phone
(563) 556-3937
Fax
(563) 556-5421
NPI assigned
May 6, 2015
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010860 IL
Optometrist 152W00000X 092574 IA Primary

Addresses

Primary practice location

505 Cedar Cross Rd
Dubuque, IA 52003-7955

Mailing address

505 Cedar Cross Rd
Dubuque, IA 52003-7955
Phone (563) 556-3937

Other practice location 1

300 N Grandview Ave.
Dubuque, IA 52001
Phone (563) 588-4675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20181001002052 IA Practitioner - Optometry 0345546222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Health Center, P.C.Group PAC ID 7416056692, 4 clinicians

Practice addresses (Care Compare)

113 State St
Bellevue, IA 52031-1307
Phone (563) 872-5975

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092574IAMDOptometrist
046.010860ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Health Center, P.C. Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Vision Health Center, P.C. Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Horizon Mental Health Management LLC PastSince Nov 1, 2018 Accepting new patients

Locations

113 State St
Bellevue, IA 52031
Phone (563) 872-5975

505 Cedar Cross Rd
Dubuque, IA 52003
Phone (563) 307-1553

Organizations & group practices 3

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1437536752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037955",
            "telephone_number": "563-556-3937",
            "fax_number": "563-556-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037955",
            "telephone_number": "563-556-3937",
            "fax_number": "563-556-5421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Grandview Ave.",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "52001",
            "country_code": "US",
            "telephone_number": "563-588-4675",
            "fax_number": "563-588-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAMICH",
        "first_name": "LUCAS",
        "middle_name": "STEPHEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010860",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "092574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.