Kevin D Lucas (NPI# 1407848427, PAC ID# 0941297139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407848427 |
| PAC ID by PECOS | 0941297139 |
| Professional Enrollment ID | I20040429000107 |
| Full Name | Kevin D Lucas |
| Organization Legal Name | BIRCH LAKE VISION GROUP, LLC. |
| Address |
4720 White Bear Pkwy White Bear Lake MN 55110-3336 |
| Phone Number | 6514262747 |
| Gender | M |
| Credential | OD |
| Graduation Year | 1998 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0941297402 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4365 Pheasant Ridge Dr Ne, Suite 108, Blaine, MN 55449-4544 | 7637179500 | BIRCH LAKE VISION GROUP, LLC. |
| 4720 White Bear Pkwy, White Bear Lake, MN 55110-3336 | 6514262747 | BIRCH LAKE VISION GROUP, LLC. |
| Organization Legal Name | BIRCH LAKE VISION GROUP, LLC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Grudem | Optometry | Birch Lake Vision Group, LLC. | 4720 White Bear Pkwy, White Bear Lake, MN 55110-3336 |
| Brad E Schwantke | Optometry | Birch Lake Vision Group, LLC. | 4720 White Bear Pkwy, White Bear Lake, MN 55110-3336 |
| Street Address |
4720 WHITE BEAR PKWY |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip | 55110-3336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Grudem | Optometry | Birch Lake Vision Group, LLC. | 4720 White Bear Pkwy, White Bear Lake, MN 55110-3336 |
| Brad E Schwantke | Optometry | Birch Lake Vision Group, LLC. | 4720 White Bear Pkwy, White Bear Lake, MN 55110-3336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie S Cronk | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Juan P Jaimes | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Kristina Shaffer | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Lydia Turnbull | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Jeremy W Cook | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Mina C Ingersoll | Clinical Social Worker | Ingersoll Associates LLC | 5522 W Bald Eagle Blvd, White Bear Lake, MN 55110-2381 |
| James T Barr | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Joshua Richard Jaeger | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Colin L Natrop | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Mitchell Green | Chiropractic | Carlson Chiropractic Corporation | 4717 Clark Ave, White Bear Lake, MN 55110-3221 |
| Find all physicians in zip 55110 | |||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
| Specialty | OPTOMETRY |
| City + Specialty | WHITE BEAR LAKE + OPTOMETRY |
Please comment or provide details below to improve the information on Kevin D Lucas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.