person
Mr. Roger Wayne Luck, OPTICIAN
Optician in Rockingham, North Carolina
NPI 1386723237

Roger Wayne Luck is a Optician based in Norman, NC and is specialized in Optician. Roger Wayne Luck practices in Rockingham, NC and has the professional credentials of OPTICIAN. The NPI Number for Roger Wayne Luck is 1386723237 and holds a License No. 398 (North Carolina).

The current practice location address for Roger Wayne Luck is 211 W Broad Ave, Rockingham, NC and can be reached out via phone at 910-997-4949 and via fax at 910-997-4111.

Location: 211 W Broad Ave, Rockingham, NC, 28367-0121
person
Provider Profile Details
NPI Number
1386723237
Provider Name
Roger Wayne Luck
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
211 W Broad Ave, Rockingham, NC, 28367-0121
Phone Number
910-997-4949
Fax Number
910-997-4111
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y1925 01 NC SERVICES FOR BLIND
1234K 01 NC BCBS STATE HEALTH PLAN
8801757 05 NC
institution
Provider Business Practice Location Address Details
Address
211 W Broad Ave
City
State
Zip
28379-3529
Phone Number
910-997-4949
Fax Number
910-997-4111
person
Provider Business Mailing Address Details
Address
211 W Broad Ave
City
State
Zip
28379-3529
Phone Number
910-997-4949
Fax Number
910-997-4111
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
398 (North Carolina)
Definition
Definition to come...
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