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General NPI Number Information
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NPI Number | 1174610331
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Entity Type | Organization
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Legal Business Name | D GREGORY LUCE OD PC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 14667 SW TEAL BLVD
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City | BEAVERTON
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State | OR
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Zip | 97007-6194
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Country | US
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Telephone | 503-579-2020
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Fax | 503-579-0404
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Provider Business Mailing Address
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Address Line | 14667 SW TEAL BLVD
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City | BEAVERTON
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State | OR
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Zip | 97007-6194
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Country | US
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Telephone | 503-579-2020
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Fax | 503-579-0404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID GREGORY LUCE
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Credential | O.D.
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Telephone | 503-579-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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