Individual
DR. VICKI SUE LUEHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
223 1ST ST E, SUITE 101, JORDAN, MN 55352-1561
(952) 492-2350
(952) 492-6162
Mailing address
223 1ST ST E, SUITE 101, JORDAN, MN 55352-1561
(952) 492-2350
(952) 492-6162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2848000
MN
152WC0802X
Corneal and Contact Management Optometrist
2848000
MN
152WP0200X
Pediatric Optometrist
2848000
MN
152WS0006X
Sports Vision Optometrist
2848000
MN
152WX0102X
Occupational Vision Optometrist
2848000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132580900
—
MN
01
—
142943
UCARE
MN
01
—
1725622
AMERICAS PPO
MN
01
—
2201857
MEDICA
MN
01
—
51M08BO
BLUE CROSS BLUE SHIELD
MN
01
—
HP29343
HEALTH PARTNERS
MN
01
—
XX1901032963
PREFERRED ONE
MN
Enumeration date
10/12/2006
Last updated
03/07/2023
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