# LUKETIC EYE CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538425061
- **Authorized official:** KARL J. LUKETIC M.D. (OWNER)
- **Authorized official phone:** (419) 450-3337

## Contact information

- **Practice address:** 3915 SUNFOREST CT, TOLEDO, OH 43623-4453
- **Practice address phone:** (419) 450-3337
- **Mailing address:** PO BOX 8830, TOLEDO, OH 43623-0830
- **Mailing address phone:** (419) 450-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000127263 | ANTHEM | — |
| 01 | — | 0005908039 | AETNA | — |
| 05 | — | 0161435 | — | OH |
| 01 | — | 03297 | PARAMOUNT | — |
| 01 | — | 1451754 | UNITED HEALTHCARE | — |
| 01 | — | 180035529 | RAILROAD MEDICARE | — |