Active NPI
William J. Luck
Doing business as Luck Optical
- Optometrist
- Grand Prairie, TX
National Provider Identifier
1861537615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2393
- Legal business name
- WILLIAM J. LUCK
- Doing business as
- Luck Optical
- Practice address
- 814 W Main St
Grand Prairie, TX 75050-5515 - Phone
- (972) 642-5825
- Fax
- (972) 264-9518
- NPI assigned
- Feb 20, 2007
- Last updated
- Jun 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William J. Luck, O.D.
- Title
- Owner
- Phone
- (972) 642-5825
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2393 | TX | Primary |
Addresses
Primary practice location
814 W Main St
Grand Prairie, TX 75050-5515
Mailing address
7108 Camp Bowie Blvd
Fort Worth, TX 76116-7121
Phone (817) 738-3191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2393 | Other | TX | OPTOMETRY LICENSE |
Other names 1
- Luck Optical
National Provider Directory
National Provider Directory- Tax ID family
- Lux Eyewear for Less
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Burleson, TX
- NPI 1497890966
-
- Optometrist
- Fort Worth, TX
- NPI 1609911171
Locations
814 W Main St
Grand Prairie, TX 75050
Phone (972) 642-5825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277078400000",
"number": "1861537615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 CAMP BOWIE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167121",
"telephone_number": "817-738-3191",
"fax_number": "817-738-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 W MAIN ST",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505515",
"telephone_number": "972-642-5825",
"fax_number": "972-264-9518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J. LUCK",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2010-06-21",
"status": "A",
"authorized_official_last_name": "LUCK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-642-5825",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "2393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE",
"identifier": "2393",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Luck Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.