Provider Demographics
NPI:1508838996
Name:LUCAS, JACQUELINE J (OD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:J
Last Name:LUCAS
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Gender:F
Credentials:OD
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Mailing Address - Street 1:2350 W RAY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3516
Mailing Address - Country:US
Mailing Address - Phone:480-963-6287
Mailing Address - Fax:480-963-2208
Practice Address - Street 1:2350 W RAY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3516
Practice Address - Country:US
Practice Address - Phone:480-963-6287
Practice Address - Fax:480-963-2208
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2020-10-05
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Provider Licenses
StateLicense IDTaxonomies
AZ814152W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No152W00000XEye and Vision Services ProvidersOptometrist