MEDICARE: DR. BELINDA M.W. LUK O.D.

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	2000167741	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	122146	OTHER		COLE
2	222110	OTHER		GROUP HEALTH PLAN
3	675347	OTHER		HEALTHLINK
4	MO7741	OTHER		EYEMED
5	UNKNOWN	OTHER		UNITED HEALTHCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	UNKNOWN	OTHER		DAVIS VISION
8	UNKNOWN	OTHER		OPTICARE MED.COMPLET
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	23891	OTHER	MO	HEALTHCARE USA
11	UNKNOWN	OTHER		VISION CARE PLAN
12	178778	OTHER		BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1386613289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELINDA M.W. LUK O.D.

Provider Business Mailing Address
First Line	:	211 E BROADWAY
Second Line	:
City	:	ALTON
State	:	IL
Zip	:	62002-6220
Country	:	US
Telephone Number	:	573-446-0331
Fax Number	:	800-432-6004

Provider Business Practice Location Address
First Line	:	1400 FORUM BLVD
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-1997
Country	:	US
Telephone Number	:	573-446-0331
Fax Number	:	800-432-6004

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	05/02/2008

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