Individual
DR. GARY BRYAN LUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
344 E EAU GALLE RD, SPRING VALLEY, WI 54767-9001
(715) 778-5876
(715) 778-5874
Mailing address
PO BOX 10, 344 E EAU GALLE RD, SPRING VALLEY, WI 54767-9001
(715) 778-5876
(715) 778-5874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1954
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012515
PREFERRED ONE
WI
01
—
18235
HEALTH PARTNERS
WI
01
—
2210848
MEDICA
WV
05
—
385-22-700
—
WI
01
—
391448892
NVA
WI
01
—
92026LU
BC/BC/WI
WI
01
—
92028VA
BC/BS/WI
WI
01
—
W2913 300
SELECT CARE
WI
Enumeration date
02/14/2006
Last updated
12/09/2013
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