MEDICARE: CHRISTOPHER J KUC OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2463DT	KY
2	152W00000X	Optometrist	OEG001266	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P01401759	OTHER	VA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	536662	OTHER	VA	ANTHEM BCBS
4	1073513412	OTHER	VA	TRICARE/TRICARE FOR LIFE
5	1073513412	OTHER	VA	HUMANA
7	10139953	OTHER	VA	OPTIMA
8	1073513412	OTHER	VA	UNITED HEALTHCARE
9	7357993	OTHER	VA	CIGNA

General Provider Information

NPI Number	:	1073513412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J KUC OD

Provider Business Mailing Address
First Line	:	2353 ALEXANDRIA DR STE 350
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3208
Country	:	US
Telephone Number	:	859-224-2655
Fax Number	:	859-223-7147

Provider Business Practice Location Address
First Line	:	2353 ALEXANDRIA DR STE 260
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3208
Country	:	US
Telephone Number	:	859-224-2655
Fax Number	:	859-223-7147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	12/05/2025

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Directions to “ CHRISTOPHER J KUC OD” Practice Location

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