Individual
ROBERT E LUCKEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2306 GREENBRANCH DR, SUITE #102, WESLEY CHAPEL, FL 33544
(813) 866-4004
(813) 866-4005
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3815
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC 3815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620881900
—
FL
Enumeration date
03/31/2007
Last updated
01/18/2023
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