Provider Demographics
NPI:1902391873
Name:PLUAS, LUIS JAVIER (OD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:JAVIER
Last Name:PLUAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 LEGENDS WAY
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1963
Mailing Address - Country:US
Mailing Address - Phone:352-360-2301
Mailing Address - Fax:
Practice Address - Street 1:2015 LEGENDS WAY
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1963
Practice Address - Country:US
Practice Address - Phone:352-360-2301
Practice Address - Fax:352-315-7632
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-24
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5559152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist