Jonathan Lucas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3621 Issued in OH

Practice address

1805 Waller St
Portsmouth, OH 45662-2945

Phone

(740) 353-4511

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in OH

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.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2008.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1831291459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WALLER ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WALLER ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622945",
            "telephone_number": "740-353-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Loving
• Denver Lowe
• Jazzy Lowe, SWT
• Sakeethia A Lowry
• Austin Lucas
• Joseph W Lucero, MD
• Abigal Kate Ludke, BCBA, COBA, LBA
• Andrew D Lunsford, CMS
• Nicole Brooke Lunsford, LPN
• Charles E Lykins

• All providers in Portsmouth, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.