Andrea L Lusk MD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME 85673 Issued in FL

Legal business name

ANDREA L LUSK MD LLC

Practice address

11031 US Highway 19
Suite 106
Port Richey, FL 34668-2213

Phone

(727) 868-5875

Fax

(727) 489-9494

NPI assigned

Feb 12, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea L Lusk, MDNPI 1538179270

Title

Sole Owner

Phone

(727) 868-5875

Specialties & licenses 1

Addresses

Other names 1

• ANDREA L LUSK MD SOLE MBR Other name

Locations

Practitioners 1

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.

• Andrea L Lusk, M.D.

  • Ophthalmology Physician
  • Port Richey, FL
  • NPI 1538179270
  Authorized official Same address or phone

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1942478045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ISLEWORTH CT",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774857",
            "telephone_number": "727-868-5875",
            "fax_number": "727-489-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 US HIGHWAY 19",
            "address_2": "SUITE 106",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682213",
            "telephone_number": "727-868-5875",
            "fax_number": "727-489-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA L LUSK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LUSK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "727-868-5875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 85673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDREA L LUSK MD SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ophthalmology Physician in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.