John Lackey, Inc in Summersville - Eyewear Supplier
John Lackey, Inc - NPI 1609904663
John Lackey, Inc is a Eyewear Supplier in Summersville, . John Lackey, Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for John Lackey, Inc is 1609904663. The last update date is 2011-11-03.
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 John Lackey, Inc is 702 Professional Park Dr, Summersville, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John Lackey, Inc |
|---|---|
| Address | 702 Professional Park Dr, Summersville, |
| Phone Number | 3048726433 |
| Fax Number | 3048726562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lackey John |
| Credentials | D.O. |
| Telephone Number | 3048726433 |
NPI Number Detail
| NPI Number | 1609904663 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2011-11-03 |
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 | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 736 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1205951605 | WV | MEDICARE GROUP PAYER NPI (MED | |
| 1609904663 | WV | DME SUPPLIER NPI | |
| 94926001 | WV | MEDICAID OPTICAL SUPPLIER NUMB | |
| 257640001 | WV | MEDICARE DME PTAN (SUPPLIER PT |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Lackey, Inc by the Centers for Medicare & Medicaid Services?
The John Lackey, Inc has been issued the NPI (National Provider Identifier) 1609904663, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Lackey, Inc's physical address?
The John Lackey, Inc is physically located at 702 Professional Park Dr, in the city of Summersville, WV, with the postal code 266512018.
What is the area of specialization for John Lackey, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Lackey, Inc is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
When did John Lackey, Inc receive its 1609904663 assignment?
The John Lackey, Inc was assigned its 1609904663 on 2007-03-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding John Lackey, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Lackey, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-03.