Van Lucas II, O.D.

NPI #1184997926 in Ridgeland, Mississippi

Provider Information

NPI Number: 1184997926
Entity Type: Individual
Name: Van Lucas II, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 9, 2012
Last Updated: Jun 4, 2024

Practice Location

Address: 301 NORTHLAKE AVE STE 101
City: Ridgeland
State: Mississippi
ZIP Code: 39157-1720
Phone: (601) 707-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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