# KARL J LUKETIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669477998
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35064065 | OH | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 04/14/2015

## 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 | OH |