Richard L Luekenga Sr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

109811-9934 Issued in UT

Practice address

145 N 100 E
Richfield, UT 84701-2131

Phone

(435) 896-8142

Fax

(435) 896-9484

NPI assigned

Mar 18, 2006

Last updated

Nov 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David M Graf OD PCGroup PAC ID 0244644755, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David M Graf OD PC

  dba Valley Vision Clinic

  • Optometrist
  • Richfield, UT
  • NPI 1497959720
  Medicare reassignment Care Compare group
• Central Utah Eye Associates

  • Ophthalmology Physician
  • Provo, UT
  • NPI 1992722888
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1891754933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012131",
            "telephone_number": "435-896-8142",
            "fax_number": "435-896-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012131",
            "telephone_number": "435-896-8142",
            "fax_number": "435-896-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEKENGA",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "109811-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Included
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• Rachael Lucero, LMFT
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• Mandace Malenosky
• Lindsay Kaye Manning, LCSW

• Optometrist in Richfield, UT
• Providers in Richfield, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.