EDGAR A LUCIDI


Address: 328 Hazel Drive, Corona Del Mar, CA 92625-3031
Phone: 9496440155

EDGAR A LUCIDI (NPI# 1588678841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588678841
Entity Type Individual
Full Name EDGAR A LUCIDI
Credential MD
Practice Address 328 Hazel Drive
Corona Del Mar
CA 92625-3031
Practice Telephone 9496440155
Mailing Telephone 9496440155
Enumeration Date 2006-07-29
Last Update Date 2007-11-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1100X Technician/Technologist
Specialization: Ophthalmic
A18184 CA Eye and Vision Services Providers
N 207W00000X Ophthalmology A18184 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A181840 05

Office Location

Street Address 328 HAZEL DRIVE
City CORONA DEL MAR
State CA
Zip Code 92625-3031

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Taxonomy Information

Taxonomy Code 156FX1100X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ophthalmic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1598832909 Fullerton Eye Medical Center Technician/Technologist 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 2006-11-29
1013083518 Margaret T Taw Technician/Technologist 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 2006-11-27
1720189061 Rose Medical Group Technician/Technologist 2400 N Broadway, Los Angeles, CA 90031-2219 2006-09-26
1023030301 Robert Arthur Yohai Technician/Technologist 864 2nd St, Santa Rosa, CA 95404-4610 2006-07-24
1255351755 Gregory Clifton Tesluk Technician/Technologist 400 E Orangeburg Ave Ste 2, Modesto, CA 95350-5365 2006-07-20
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Competitor

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City CORONA DEL MAR
Zip Code 92625

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Dataset Information

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.

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