Luckey, Robert E
Luckey, Robert E is an sole proprietor health care provider with primary practice located at 2306 Greenbranch Dr Suite #102, Wesley Chapel FL 33544. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Luckey, Robert E can be contacted via phone (813) 866-4004.Contact Information
Primary practice address
2306 Greenbranch Dr Suite #102
Wesley Chapel FL 33544
Phone: (813) 866-4004
Fax: (813) 866-4005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC 3815 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3815 | Florida |
Profile Details
| NPI number | 1184744104 |
|---|---|
| LBN Legal business name | Luckey, Robert E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Jan 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184744104 | NPPES |
| Florida | MEDICAID | 620881900 |
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