Individual
GERALD P LUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1932 ALCOA HWY STE 255, KNOXVILLE, TN 37920-1508
(865) 244-2030
(865) 684-1196
Mailing address
1932 ALCOA HWY, STE 255, KNOXVILLE, TN 37920-1508
(865) 244-2030
(865) 684-1196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0943
TN
152WC0802X
Corneal and Contact Management Optometrist
0943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100026729
PHP
—
01
—
2240396
UNITED HEALTHCARE
—
01
—
3333333
UMWA
—
05
—
3599503
—
TN
01
—
410030911
RAILROAD MEDICARE
—
01
—
5928759
CIGNA
—
01
—
86314
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/14/2006
Last updated
02/08/2019
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