Provider Demographics
NPI:1538107248
Name:BIANCO, LUKE STEVEN (MD)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:STEVEN
Last Name:BIANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:505 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5004
Mailing Address - Country:US
Mailing Address - Phone:559-429-4378
Mailing Address - Fax:559-623-9630
Practice Address - Street 1:505 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5004
Practice Address - Country:US
Practice Address - Phone:559-429-4378
Practice Address - Fax:559-623-9630
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG75614207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G756140Medicaid
CA00G756140Medicaid
CA00G756142Medicare PIN