Individual provider Active NPI

Jessica Leigh Lucas, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1750669479
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2701 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone
(405) 271-1090
Fax
(405) 271-7873
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2701 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-1090

Other practice location 1

1005 Medical Park Blvd
Edmond, OK 73013-3025
Phone (405) 271-0913

Other identifiers 1

IdentifierTypeStateIssuer
200350910AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jlucas@directdmei.org
Direct Messaging Address jlucas@directdmei.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000138 OK Practitioner - Optometry 9830361534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians
Dean McGee Eye InstituteGroup PAC ID 3779495353, 41 clinicians

Practice addresses (Care Compare)

1005 Medical Park Blvd
Edmond, OK 73013-3025
Phone (405) 271-0913

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-6060

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
73.92
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dean McGee Eye Institute Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients
Dean McGee Eye Institute Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients

Locations

1005 Medical Park Blvd
Edmond, OK 73013
Phone (405) 271-0913

608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-6060

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1750669479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-1090",
            "fax_number": "405-271-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-1090",
            "fax_number": "405-271-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133025",
            "country_code": "US",
            "telephone_number": "405-271-0913",
            "fax_number": "405-271-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350910A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlucas@directdmei.org",
            "affiliation": "N",
            "address_1": "1005 Medical Park Blvd",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730133025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlucas@directdmei.org",
            "affiliation": "N",
            "address_1": "608 Stanton L Young Blvd",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.