Dr John Lackey Inc in Summersville - Ophthalmology
Dr John Lackey Inc - NPI 1205951605
Dr John Lackey Inc is a Ophthalmology in Summersville, . Dr John Lackey Inc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Dr John Lackey Inc is 1205951605. The last update date is 2011-02-21.
Dr John Lackey Inc's current location address is 702 Professional Park Dr, Summersville, . You can contact this provider via phone number 3048726433 and fax number 3048726562. The mailing address for Dr John Lackey Inc is 702 Professional Park Dr, Summersville, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr John Lackey Inc |
|---|---|
| Address | 702 Professional Park Dr, Summersville, |
| Phone Number | 3048726433 |
| Fax Number | 3048726562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHYS |
|---|---|
| Authorized Official Name | Lackey K John |
| Credentials | D.O. |
| Telephone Number | 3048726433 |
NPI Number Detail
| NPI Number | 1205951605 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2011-02-21 |
Provider Mailing Address Detail
| Address | 702 Professional Park Dr |
|---|---|
| City | Summersville |
| State | (WV) |
| Post Code | 266512018 |
| Phone Number | 3048726433 |
| Fax Number | 3048726562 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 736 WV |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1205951605 | WV | NPI - GROUP | |
| DG9055 | WV | MEDICARE RAILROAD GROUP | |
| 1329809 | WV | UMWA FUNDS | |
| 94926001 | WV | MEDICAID - SUPPLIER | |
| 94926002 | WI | MEDICAID GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dr John Lackey Inc by the Centers for Medicare & Medicaid Services?
The Dr John Lackey Inc has been assigned the NPI (National Provider Identifier) 1205951605 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dr John Lackey Inc is physically located?
The Dr John Lackey Inc is situated at the following address: 702 Professional Park Dr, Summersville, WV 266512018.
What is the Dr John Lackey Inc's area of specialization and corresponding taxonomy classification?
The Dr John Lackey Inc's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Dr John Lackey Inc receive the assignment of its 1205951605 from the Centers for Medicare & Medicaid Services?
The Dr John Lackey Inc was issued its 1205951605 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information regarding Dr John Lackey Inc most recently updated?
The details pertaining to the Dr John Lackey Inc, including its address, specialty, and other relevant information, were last refreshed on 2011-02-21.