National Provider Identifier Database

JOHN LACKEY INC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

JOHN LACKEY, INC
702 PROFESSIONAL PARK DR
SUITE102
SUMMERSVILLE, WV26651-2018
Phone: 304-872-6433
Fax: 304-872-6562
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for JOHN LACKEY, INC

NPI Number 1609904663
Legal business name
LBN
JOHN LACKEY, INC
Authorized official JOHN LACKEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 11/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 736
  • WV Other: 1609904663 DME SUPPLIER NPI
  • WV Other: 00094926001 MEDICAID OPTICAL SUPPLIER NUMBER
  • WV Other: 0257640001 MEDICARE DME PTAN (SUPPLIER PTAN)
  • WV Other: 1205951605 MEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)

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.

Reviews for JOHN LACKEY, INC

There are currently no reviews for JOHN LACKEY, INC


NPIdb - Home
v2.201