DR. KEVIN DAVID LUCAS (O.D.) – Optometrist, NPI 1407848427

DR. KEVIN DAVID LUCAS (O.D.) is a healthcare provider. based in White bear lake, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. LD2695000 (MN). The NPI Number for DR. KEVIN DAVID LUCAS (O.D.) is 1407848427

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN DAVID LUCAS (O.D.)
NPI
1407848427
Phone
(651) 426-2747
Address
4720 WHITE BEAR PKWY
Enumeration Date
16 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514262747
Graduation Year
1998 (28 years ago)
PAC ID
0941297139
Group Practice PAC ID
0345220745
Professional Enrollment ID
I20040429000107
Address ID
MN551103336WH4720XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. KEVIN DAVID LUCAS (O.D.)

  • White Bear Lake, Dellwood, White Bear Township, Ramsey County, Minnesota, United States

    WHITE BEAR LAKE, MN 551103336

    Phone: (651) 426-2747

    Fax: (651) 426-9838

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: LKC Technologies, Inc. ($94).

Total Amount

$188

General + Research + Ownership

Payments

6

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040429000107IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system8585$0
99214Established patient office or other outpatient visit, 30-39 minutes3328$0
92134Imaging of retina2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
92083Exam of visual field with extended testing1313$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345220745View full group profile
NameSpecialtyState
O P T O M E T R YCT
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YWI
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Can I cross-check DR. KEVIN DAVID LUCAS (O.D.) using NPI 1407848427?
NPI 1407848427 belongs to DR. KEVIN DAVID LUCAS (O.D.); compare other details if you need extra assurance.
Is DR. KEVIN DAVID LUCAS (O.D.) shown as active in public data?
Registry records indicate DR. KEVIN DAVID LUCAS (O.D.) maintains an active NPI.
What area of care is associated with DR. KEVIN DAVID LUCAS (O.D.)?
DR. KEVIN DAVID LUCAS (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KEVIN DAVID LUCAS (O.D.)?
Directory geography for DR. KEVIN DAVID LUCAS (O.D.) centers on White Bear Lake, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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