# ROBERT E LUCKEY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184744104
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3815 | FL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | OPC 3815 | FL | — |

## Other

- **Enumeration date:** 03/31/2007
- **Last updated:** 01/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620881900 | — | FL |