location
search-icon
institution
John Lackey, Inc
Eyewear Supplier in Summersville, West Virginia
NPI 1609904663

John Lackey, Inc is a Eyewear Supplier based in Summersville, WV. John Lackey, Inc practices in Summersville, WV. The NPI Number for John Lackey, Inc is 1609904663 and holds a License No. 736 (West Virginia).

The current practice location address for John Lackey, Inc is 702 Professional Park Dr, Summersville, WV and can be reached out via phone at 304-872-6433 and via fax at 304-872-6562.

Location: 702 Professional Park Dr, Summersville, WV, 26651-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609904663
Provider Name
John Lackey, Inc
Credential
Provider Entity Type
Organization
Address
702 Professional Park Dr, Summersville, WV, 26651-2018
Phone Number
304-872-6433
Fax Number
304-872-6562
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1205951605 01 WV MEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)
1609904663 01 WV DME SUPPLIER NPI
00094926001 01 WV MEDICAID OPTICAL SUPPLIER NUMBER
0257640001 01 WV MEDICARE DME PTAN (SUPPLIER PTAN)
institution
Provider Business Practice Location Address Details
Address
702 Professional Park Dr
City
Summersville
State
West Virginia
Zip
26651-2018
Phone Number
304-872-6433
Fax Number
304-872-6562
person
Provider Business Mailing Address Details
Address
702 Professional Park Dr
City
Summersville
State
West Virginia
Zip
26651-2018
Phone Number
304-872-6433
Fax Number
304-872-6562
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
736 (West Virginia)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.