Individual
DR. TIMOTHY MICHAEL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
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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