Individual provider Active NPI

Monica Luka, OD

  • Optometrist
  • Coppell, TX
National Provider Identifier
1922773530
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10312T Issued in TX
Practice address
220 S Denton Tap Rd
Coppell, TX 75019-5038
Phone
(972) 745-8760
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10312T TX Primary

Addresses

Primary practice location

220 S Denton Tap Rd
Coppell, TX 75019-5038

Mailing address

500 Bridlewood N
Colleyville, TX 76034-3763

Other practice location 1

2601 E State Highway 114
Southlake, TX 76092-6668
Phone (817) 749-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211001002372 TX Practitioner - Optometry 6406254648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Associates PLLCGroup PAC ID 7618199027, 6 clinicians

Practice addresses (Care Compare)

200 Gerault Rd
Suite 110
Flower Mound, TX 75028-4097
Phone (972) 646-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10312TXMDProfessional Counselor
10312TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Associates PLLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Clear Vision Associates PLLC Optometrist Current Accepting new patients

Locations

200 Gerault Rd
Ste 110
Flower Mound, TX 75028
Phone (972) 646-2024

Organizations & group practices 2

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1922773530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BRIDLEWOOD N",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195038",
            "telephone_number": "972-745-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E State Highway 114",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926668",
            "country_code": "US",
            "telephone_number": "817-749-4479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKA",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10312T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.