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Organization
WILLIAM J. LUCK
Active
Organization
WILLIAM J. LUCK
Active
Other names
Luck Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J. LUCK O.D. (OWNER)
(972) 642-5825
Entity
Organization
Contact information
Practice address
814 W MAIN ST, GRAND PRAIRIE, TX 75050-5515
(972) 642-5825
(972) 264-9518
Mailing address
7108 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7121
(817) 738-3191
(817) 738-7724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2393
OPTOMETRY LICENSE
TX
Enumeration date
02/20/2007
Last updated
06/21/2010
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