Kimberly Ann Lucey M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

032769CT Issued in CT

Legal business name

KIMBERLY ANN LUCEY M.D., P.C.

Practice address

1699 King St Ste 102
Enfield, CT 06082-6052

Phone

(860) 749-6485

Fax

(860) 749-1562

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Ann Lucey, M.D.

Title

President

Phone

(860) 749-6485

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1821298613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 KING ST STE 102",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060826052",
            "telephone_number": "860-749-6485",
            "fax_number": "860-749-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 KING ST STE 102",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060826052",
            "telephone_number": "860-749-6485",
            "fax_number": "860-749-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ANN LUCEY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-749-6485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "032769CT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02837",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carina M Kerr
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• Jade Elizabeth Kiang
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• Susan E. Kilduff-Katsoulis, AUD, CCC-A
• Jay Allen Kimmel, MD
• Paul Kindall, LMFT
• Adrianne M King
• Falinda King
• Amy Kingsbury

• Ophthalmology Physician in Enfield, CT
• Providers in Enfield, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.