Organization Active NPI

Lucky Shoes Inc

  • Prosthetic/Orthotic Supplier
  • Canton, OH
National Provider Identifier
1811127004
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LUCKY SHOES INC
Practice address
4840 Everhard Rd NW
Canton, OH 44718-2413
Phone
(330) 494-7575
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
John Luck
Title
VP
Phone
(330) 836-9542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4840 Everhard Rd NW
Canton, OH 44718-2413

Mailing address

4840 Everhard Rd NW
Canton, OH 44718-2413
Phone (330) 494-7575

National Provider Directory

National Provider Directory

Locations

4840 Everhard Rd NW
Canton, OH 44718
Phone (330) 494-7575

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1811127004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182413",
            "telephone_number": "330-494-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182413",
            "telephone_number": "330-494-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-836-9542"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.