Individual
GERALD P LUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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