ROGER W. LUCK NPI 1497945943

NPI Information

NPI: 1497945943
Provider Name: ROGER W. LUCK

Doing Business As: THE SPEC SHOPPE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
211 W BROAD AVE
ROCKINGHAM, NC
ZIP 28379
Phone: (910) 997-4949
Get Directions

ROGER W. LUCK is an eyewear supplier in Rockingham, NC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ROGER W. LUCK NPI is 1497945943. The provider is registered as an organization entity type.
The provider Is Doing Business As The Spec Shoppe.

The provider's business location address is:

211 W BROAD AVE
ROCKINGHAM, NC
ZIP 28379-529
Phone: (910) 997-4949

The provider's authorized official is Roger Wayne Luck .
The authorized official title is Owner and has the following contact phone number (910) 997-4949.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		398	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8801757	MEDICAID	NORTH CAROLINA
2	1234K	OTHER	NORTH CAROLINA	NC HEALTHCHOICE
3	Y1925	OTHER	NORTH CAROLINA	NC SERVICES FOR THE BLIND
4	0556720001	MEDICARE NSC	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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