Organization Active NPI

William J. Luck

Doing business as Luck Optical

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1861537615
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2393 Issued in TX
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2393OtherTXOPTOMETRY LICENSE

Other names 1

  • Luck Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lux Eyewear for Less3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.