Brianne Marie Luck

Primary specialty

Optometric TechnicianTaxonomy code 156FX1202X

Practice address

2813 Kenborg HLS
Jefferson City, MO 65109-1002

Phone

(573) 353-2760

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1588970479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 KENBORG HLS",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 KENBORG HLS",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091002",
            "telephone_number": "573-353-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "BRIANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "B1775413",
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Michelle Lorenz, MD
• Lotus Foundation, LLC
• Kathleen Grace Love
• Michelle M Love
• John C. Lucio, D.O.
• Chelsea Luck, PT, DPT
• Charles Joseph Ludy, D.O.
• Zachary Thomas Luebbering, D.O.
• Deborah Sue Luebbert
• Miranda Luebbert, APRN, FNP

• Technician/Technologist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Technician/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.