Individual
DR. TIMOTHY MICHAEL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
4109 UNION RD, SAINT LOUIS, MO 63129-1064
(314) 487-0700
(314) 487-1212
Mailing address
15933 CLAYTON RD STE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2350
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208725
HEALTHLINK
MO
01
—
2202044
UNITED HEALTHCARE
MO
01
—
32313
ANTHEM BLUE CROSS BLUE SH
MO
01
—
5268423
CIGNA HEALTHCARE
MO
01
—
53491
GROUP HEALTH PLAN
MO
Enumeration date
01/24/2007
Last updated
10/25/2016
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