Individual
CHARLES JACOB LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
3415 N LOOP 250 W STE 201, MIDLAND, TX 79707-6035
(423) 234-1795
(432) 704-5652
Mailing address
3415 N LOOP 250 W STE 201, MIDLAND, TX 79707-6035
(423) 234-1795
(432) 704-5652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7331TG
TX
Other
Enumeration date
08/04/2006
Last updated
03/17/2018
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