Roger Wayne Luck, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

398 Issued in NC

Practice address

211 W Broad Ave
Rockingham, NC 28379-3529

Phone

(910) 997-4949

Fax

(910) 997-4111

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roger W. Luck

  • Eyewear Supplier
  • Rockingham, NC
  • NPI 1497945943
  NPD (past) Authorized official
• Carlyle Dukes Haywood Jr

  • Optometrist
  • Rockingham, NC
  • NPI 1609914100
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386723237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "NORMAN",
            "state": "NC",
            "postal_code": "283670121",
            "telephone_number": "910-652-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W BROAD AVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793529",
            "telephone_number": "910-997-4949",
            "fax_number": "910-997-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "ROGER",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICES FOR BLIND",
            "identifier": "Y1925",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE HEALTH PLAN",
            "identifier": "1234K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8801757",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin L Locklear, MA
• Trina K. Locklear
• Judy Long
• Katie Guerry Long, LCSWA
• Billie Jo Lucas, COTA/L
• Lyngrett Enterprises Inc
• Ma RM JH Inc
• Victoria Mabe, PHARMD
• Main Method Mobility Transportation and Logistics LLC.
• Rolanda Denise Malloy, LPC

• Optician in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.