Dr. Bruce J. Lucas, O.D. -- a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

7841T Issued in CA

Legal business name

DR. BRUCE J. LUCAS, O.D. -- A PROFESSIONAL CORPORATION

Practice address

20121 Ventura Blvd
Ste. 102
Woodland Hills, CA 91364-2546

Phone

(818) 348-1266

Fax

(818) 348-1280

NPI assigned

Jan 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bruce J. Lucas, O.D.NPI 1912061078

Title

President

Phone

(818) 348-1266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce J. Lucas, O.D.

  • Corneal and Contact Management Optometrist
  • Woodland Hills, CA
  • NPI 1912061078
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1710217898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD",
            "address_2": "STE. 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-348-1266",
            "fax_number": "818-348-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD",
            "address_2": "STE. 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-348-1266",
            "fax_number": "818-348-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRUCE J. LUCAS, O.D. -- A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-348-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7841T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.