Active NPI
Peter O. Lucia, O.D.
- Optometrist
- Hibbing, MN
National Provider Identifier
1669543781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1594
- Practice address
- 302 E Howard St
Hibbing, MN 55746-1772 - Phone
- (218) 263-8233
- Fax
- (218) 263-4561
- NPI assigned
- Nov 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1594 | MN | Primary |
Addresses
Primary practice location
302 E Howard St
Hibbing, MN 55746-1772
Mailing address
302 E Howard St
Hibbing, MN 55746-1772
Phone (218) 263-8233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0484250001 | Other | MN | DMERC |
| 69467LU | Other | MN | BLUECROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1594 | MN | MD | Acupuncturist |
Interoperability endpoints
- alucia@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669543781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E HOWARD ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557461772",
"telephone_number": "218-263-8233",
"fax_number": "218-263-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E HOWARD ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557461772",
"telephone_number": "218-263-8233",
"fax_number": "218-263-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIA",
"first_name": "PETER",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "1594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0484250001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "69467LU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- 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.