Provider Demographics
NPI:1083041727
Name:LUCERO, ALAYNA A (OD)
Entity type:Individual
Prefix:DR
First Name:ALAYNA
Middle Name:A
Last Name:LUCERO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALAYNA
Other - Middle Name:R
Other - Last Name:ALLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:67 OBERY ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2181
Mailing Address - Country:US
Mailing Address - Phone:508-747-2020
Mailing Address - Fax:508-747-0104
Practice Address - Street 1:67 OBERY ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2181
Practice Address - Country:US
Practice Address - Phone:508-747-2020
Practice Address - Fax:508-747-0104
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4995152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110100209AMedicaid
MAS400156879Medicare PIN