Rex Alden Lutes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3478/T747 Issued in OH

Practice address

3464 New Germany Trebein Rd
Beavercreek, OH 45431-1790

Phone

(937) 429-4060

Fax

(937) 429-9675

NPI assigned

Sep 19, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Beavercreek, OH
  • NPI 1164142444
  NPD

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629063466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 NEW GERMANY TREBEIN RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311790",
            "telephone_number": "937-429-4060",
            "fax_number": "937-429-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 NEW GERMANY TREBEIN RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311790",
            "telephone_number": "937-429-4060",
            "fax_number": "937-429-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTES",
        "first_name": "REX",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3478/T747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433605",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Timothy Loughlin, D.O.
• Kaelee Lowe
• Josie Miller Lowell
• Daniel B Luckenbill, MD
• Stephen Michael Ludwig, OTR/L
• Luxottica of America Inc. (Lenscrafters #631)
• Luxottica Retail North America Inc (Sears Optical #C0137)
• Luxottica Retail North America Inc (Pearle Vision #C6589)
• LV Advanced Care, LLC
• Reagan Lyman

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.