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Contact Information

ROBERT E LUCKEY JR, OD
2306 GREENBRANCH DR
SUITE #102
WESLEY CHAPEL, FL33544
 Phone: 813-866-4004
 Fax: 813-866-4005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT E LUCKEY JR · (Male)

NPI # 1184744104
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/31/2007
Last updated 01/18/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC 3815
  • FL License # OPC3815
  • FL Medicaid 620881900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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