David W Lucas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002338 Issued in MI

Practice address

228 N Helmer Rd
Springfield, MI 49037-7931

Phone

(269) 963-5640

Fax

(269) 963-1666

NPI assigned

Nov 7, 2006

Last updated

Oct 11, 2011By the provider in NPPES

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

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.

• Todd G Stagner OD PLLC

  • Corneal and Contact Management Optometrist
  • Springfield, MI
  • NPI 1194986869
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1710056304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N HELMER RD",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "490377931",
            "telephone_number": "269-963-5640",
            "fax_number": "269-963-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N HELMER RD",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "490377931",
            "telephone_number": "269-963-5640",
            "fax_number": "269-963-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945005485",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Marie Kincaid, CD(DONA)
• Rebecca N King, OTR
• Ally Logan
• Lorie Brady& Associates
• Catherine J Loy, OTRL
• Nicholas J Vandemoortel, DDS, PC (South Custer Family Dental)
• Ashley Reid
• Robert L Houghtaling Jr DDS PLLC
• Michael Aaron Rogers, LPC
• Jessica Selvidge

• Optometrist in Springfield, MI
• Providers in Springfield, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.