Provider Demographics
NPI:1700463445
Name:ASFELD, LUCAS JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:JAMES
Last Name:ASFELD
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:PO BOX 207158
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-7158
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:510 FREEPORT AVE NW STE C
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-3007
Practice Address - Country:US
Practice Address - Phone:763-441-3431
Practice Address - Fax:763-441-4512
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN3731152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist