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Individual

MR. ROGER WAYNE LUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
398
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1234K
BCBS STATE HEALTH PLAN
NC
05
8801757
NC
01
Y1925
SERVICES FOR BLIND
NC
Enumeration date
11/03/2006
Last updated
07/08/2007
Update your record

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