Organization
LUKETIC EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL J. LUKETIC M.D. (OWNER)
(419) 450-3337
Entity
Organization
Contact information
Practice address
3915 SUNFOREST CT, TOLEDO, OH 43623-4453
(419) 450-3337
Mailing address
PO BOX 8830, TOLEDO, OH 43623-0830
(419) 450-3337
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
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
—
Enumeration date
04/10/2012
Last updated
04/10/2012
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