LUKETIC EYE CENTER, LLC (NPI# 1538425061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538425061 |
| Entity Type | Organization |
| Organization Name | LUKETIC EYE CENTER, LLC |
| Practice Address |
3915 Sunforest Ct Toledo OH 43623-4453 |
| Mailing Address |
Po Box 8830 Toledo OH 43623-0830 |
| Practice Telephone | 4194503337 |
| Mailing Telephone | 4194503337 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | KARL J. LUKETIC (OWNER) |
| Authorized Official Telephone | 4194503337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 1451754 | 01 | |
| ANTHEM | 000000127263 | 01 | |
| RAILROAD MEDICARE | 180035529 | 01 | |
| OH | 0161435 | 05 | |
| AETNA | 0005908039 | 01 | |
| PARAMOUNT | 03297 | 01 |
| Street Address |
3915 SUNFOREST CT |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477998 | Karl J Luketic | Ophthalmology | 3915 Sunforest Ct, Toledo, OH 43623-4453 | 2005-06-14 |
| 1750715082 | Carl H Wheeler | Dentist | 3915 Sunforest Ct, Toledo, OH 43623-4453 | 2013-08-22 |
| 1184925596 | Sunforest Vision Center Inc | Clinic/Center | 3915 Sunforest Ct, Toledo, OH 43623-4453 | 2010-11-16 |
| 1053316240 | Abraham Yap Sim | Ophthalmology | 3915 Sunforest Ct, Toledo, OH 43623-4453 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346600517 | Midwest Eye Consultants Ohio, Inc | Ophthalmology | 1814 W Laskey Rd, Toledo, OH 43613-3526 | 2016-03-02 |
| 1689072407 | Promedica Central Physicians LLC | Ophthalmology | 435 S Hawley St, Toledo, OH 43609-2344 | 2014-12-10 |
| 1821309360 | Matthew Spencer Currie | Ophthalmology | 2865 N. Reynolds Rd. Ste 170, Toledo, OH 43615-1540 | 2010-06-30 |
| 1609097369 | Hooman Harooni | Ophthalmology | 3330 Meijer Dr, Ste 1, Toledo, OH 43617 | 2007-05-01 |
| 1730104902 | Erica Anne Person | Ophthalmology | 1000 Regency Ct Ste 100, Toledo, OH 43623 | 2006-07-12 |
| 1275569725 | Pediatric Ophthalmology Consultants, LLC | Ophthalmology | 2927 N Mccord Rd, Suite 100, Toledo, OH 43615-1749 | 2006-06-25 |
| 1811934805 | Stanley L Tao | Ophthalmology | 5085 Monroe St, Ste. A, Toledo, OH 43623-3455 | 2006-05-31 |
| 1568448983 | Robert Joseph Huss | Ophthalmology | 4605 Farmington Rd, Toledo, OH 43623-2633 | 2005-12-17 |
| 1235137936 | James Vincent Furicchia | Ophthalmology | 3840 Woodley Rd, Unit A, Toledo, OH 43606-1175 | 2005-07-07 |
| 1497750574 | Jonathan M Bernstein | Ophthalmology | 3000 Regency Ct Ste 100, Toledo, OH 43623-3081 | 2005-06-16 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.