Dr Thomas Lucas Iv, OD | |
112 W 1st St, Cloverdale, CA 95425-3607 | |
(707) 894-2020 | |
(707) 894-3998 |
Full Name | Dr Thomas Lucas Iv |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 112 W 1st St, Cloverdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558929992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 34288TLG (California) | Primary |
Provider Name | Eye Associates Of Sebastopol Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295729382 PECOS PAC ID: 1052362696 Enrollment ID: O20050201000776 |
Provider Name | Trevor K Irish Od Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114249026 PECOS PAC ID: 6002945268 Enrollment ID: O20100526000396 |
Provider Name | Thomas M Lucas Iv Od Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760115513 PECOS PAC ID: 4284019035 Enrollment ID: O20220915001575 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Lucas Iv, OD 112 W 1st St, Cloverdale, CA 95425-3607 Ph: (707) 894-2020 | Dr Thomas Lucas Iv, OD 112 W 1st St, Cloverdale, CA 95425-3607 Ph: (707) 894-2020 |
William F Hoyer Iii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 W 1st St, Cloverdale, CA 95425 Phone: 707-894-3936 Fax: 707-894-3998 | |
Thomas M. Lucas Iv, O.d., Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 112 W 1st St, Cloverdale, CA 95425 Phone: 707-894-3936 |