Organization
LUCAS EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE KENT LUCAS OD (OWNER)
(304) 855-4345
Entity
Organization
Contact information
Practice address
113 LB AND T WAY, LOGAN, WV 25601-3485
(304) 752-2020
Mailing address
HC 74 BOX 3034, CHAPMANVILLE, WV 25508-9525
(304) 855-4345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1038
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007321
—
WV
Enumeration date
12/01/2006
Last updated
02/15/2008
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