NPIMap

Organization Active NPI

Todd Lucas Optometry, Inc.

  • Primary Care Clinic/Center
  • Ballwin, MO
National Provider Identifier
1669756029
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
TO-3419 Issued in MO
Legal business name
TODD LUCAS OPTOMETRY, INC.
Practice address
118 Ramsey LN
Ballwin, MO 63021-4910
Phone
(636) 227-5524
Fax
(636) 227-9134
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Cynthia Jean Lucas, O.D.
Title
Secretary, Owner, Optometrist
Phone
(636) 227-5524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TO-3419 MO Primary

Addresses

Primary practice location

118 Ramsey LN
Ballwin, MO 63021-4910

Mailing address

118 Ramsey LN
Ballwin, MO 63021-4910
Phone (636) 227-5524

Other names 1

  • Ballwin Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

118 Ramsey Ln
Ballwin, MO 63021
Phone (636) 227-5524

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1669756029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 RAMSEY LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214910",
            "telephone_number": "636-227-5524",
            "fax_number": "636-227-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RAMSEY LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214910",
            "telephone_number": "636-227-5524",
            "fax_number": "636-227-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD LUCAS OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SECRETARY, OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "636-227-5524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "TO-3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballwin Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.