| Organization Name: | ROBERT E LUCKEY JR OD PA |
| NPI Number: | 1073883260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT E LUCKEY (DOCTOR/OWNER) |
| Mailing Address: | 27340 Cashford Cir Ste 102 Wesley Chapel |
| State: | FL US |
| Postal Code: | 335446933 |
| Phone Number: | 8138664004 |
| Fax Number: | 8138664005 |
| NPI Enumeration Date: | 01/05/2012 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OPC3815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |