MEDICARE: DR. RACHAEL ANN LUX 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	OPT.0004143	CO
2	152W00000X	Optometrist	13974857-9934	UT

General Provider Information

NPI Number	:	1770336497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHAEL ANN LUX OD

Provider Business Mailing Address
First Line	:	3400 E BAYAUD AVE STE 485
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-3000
Country	:	US
Telephone Number	:	303-688-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 E BAYAUD AVE STE 485
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-3000
Country	:	US
Telephone Number	:	303-688-3636
Fax Number	:

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

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	01/09/2026

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Directions to “ DR. RACHAEL ANN LUX OD” Practice Location

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