Provider Demographics
NPI:1538524509
Name:DR. LAUREN LUCAS & ASSOCIATES
Entity type:Organization
Organization Name:DR. LAUREN LUCAS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:GREENE
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-270-6030
Mailing Address - Street 1:8900 W BROAD ST
Mailing Address - Street 2:STE C
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-5815
Mailing Address - Country:US
Mailing Address - Phone:804-270-6030
Mailing Address - Fax:804-270-4150
Practice Address - Street 1:8900 W BROAD ST
Practice Address - Street 2:STE C
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5815
Practice Address - Country:US
Practice Address - Phone:804-270-6030
Practice Address - Fax:804-270-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001866152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty