Physician Compare National (NPI:1811207798)

HEALTHCARE PROVIDER: LUCAS HOEKSTRA O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811207798
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971826769
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141231001767
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOEKSTRA
	Individual professional last name
Provider First Name	LUCAS
	Individual professional first name
Provider Middle Name	LONNIE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	855 S ALDER ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	BURLINGTON
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	982332808
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y