| NPI | 1609904663 |
|---|---|
| Other Name | DR. JOHN LACKEY, INC. |
| Entity Type | Organization |
| Authorized Contact | JOHN LACKEY Owner 304-872-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WV 736) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-11-03 |