Organization
ROGER W. LUCK
Active
Organization
ROGER W. LUCK
Active
Other names
The Spec Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER WAYNE LUCK OPTICIAN (OWNER)
(910) 997-4949
Entity
Organization
Contact information
Practice address
211 W BROAD AVE, ROCKINGHAM, NC 28379-3529
(910) 997-4949
Mailing address
211 W BROAD AVE, ROCKINGHAM, NC 28379-3529
(910) 997-4949
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234K
NC HEALTHCHOICE
NC
05
—
8801757
—
NC
01
—
Y1925
NC SERVICES FOR THE BLIND
NC
Enumeration date
07/31/2007
Last updated
06/18/2008
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