Organization Active NPI

Lucas Eye Clinic, Inc

  • Optometrist
  • Winona, MS
National Provider Identifier
1952882953
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
599 Issued in MS
Legal business name
LUCAS EYE CLINIC, INC
Practice address
639 Middleton Rd
Winona, MS 38967-2021
Phone
(662) 283-1781
NPI assigned
Aug 27, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Jacquelyn Lucas, O.D.NPI 1588782577
Title
Optometrist
Phone
(662) 283-1781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 599 MS Primary

Addresses

Primary practice location

639 Middleton Rd
Winona, MS 38967-2021

Mailing address

PO Box 763
Winona, MS 38967-0763

National Provider Directory

National Provider Directory

Locations

639 Middleton Rd
Winona, MS 38967
Phone (662) 283-1781

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1952882953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389670763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MIDDLETON RD",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672021",
            "telephone_number": "662-283-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS EYE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-283-1781",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.