Organization Active NPI

Thomas M. Lucas IV, O.D., Inc.

  • Optometrist
  • Ukiah, CA
National Provider Identifier
1760115513
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMAS M. LUCAS IV, O.D., INC.
Practice address
495 E Perkins St Ste E
Ukiah, CA 95482-4573
Phone
(707) 894-2020
Fax
(707) 894-3998
NPI assigned
Jul 7, 2022
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dr. Thomas Lucas IV, ODNPI 1558929992
Title
Ceo
Phone
(209) 534-0734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

495 E Perkins St Ste E
Ukiah, CA 95482-4573

Mailing address

495 E Perkins St Ste E
Ukiah, CA 95482-4573
Phone (707) 894-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220915001575 CA Part B Supplier - Clinic/Group Practice 4284019035 Receives reassigned benefits from 1 practitioner
Practice locations: Cloverdale, CA

National Provider Directory

National Provider Directory

Locations

112 W 1st St
Cloverdale, CA 95425
Phone (707) 894-3936

495 E Perkins St
Ste E
Ukiah, CA 95482
Phone (707) 894-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1760115513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E PERKINS ST STE E",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824573",
            "telephone_number": "707-894-2020",
            "fax_number": "707-894-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E PERKINS ST STE E",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824573",
            "telephone_number": "707-894-2020",
            "fax_number": "707-894-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. LUCAS IV, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-534-0734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.