Individual
DR. ANDREW S LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3079 STATE ROUTE 28, HERKIMER, NY 13350
(315) 866-4020
(315) 866-4026
Mailing address
3079 STATE ROUTE 28, HERKIMER, NY 13350-1041
(315) 866-4020
(315) 866-4026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0038951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010942
RHSCO
—
01
—
10069694
CDPHP
—
01
—
161606726LUI
BCBS
—
01
—
5950L5
MVP
—
Enumeration date
11/02/2006
Last updated
12/15/2009
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