ROGER W. LUCK (NPI# 1497945943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497945943 |
| Entity Type | Organization |
| Organization Name | ROGER W. LUCK |
| Other Organization Name | THE SPEC SHOPPE |
| Practice Address |
211 W Broad Ave Rockingham NC 28379-3529 |
| Practice Telephone | 9109974949 |
| Mailing Telephone | 9109974949 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | MR. ROGER WAYNE LUCK (OWNER) |
| Authorized Official Telephone | 9109974949 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 398 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC HEALTHCHOICE | 1234K | 01 |
| NC | NC SERVICES FOR THE BLIND | Y1925 | 01 |
| NC | 8801757 | 05 |
| Other Name | Type Code |
|---|---|
| The Spec Shoppe | Doing Business As Name - Organization |
| Street Address |
211 W BROAD AVE |
| City | ROCKINGHAM |
| State | NC |
| Zip Code | 28379-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386723237 | Roger Wayne Luck | Technician/Technologist | 211 W Broad Ave, Rockingham, NC 28379-3529 | 2006-11-03 |
| 1609914100 | Carlyle Dukes Haywood Jr | Optometrist | 211 W Broad Ave, Rockingham, NC 28379-3529 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
| 1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
| 1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
| 1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
| 1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
| Find all providers in zip 28379 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202966 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1433 Boone Station Dr, Burlington, NC 27215-8229 | 2020-10-13 |
| 1053918599 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6301 Triangle Plantation Dr, Raleigh, NC 27616-5174 | 2020-10-07 |
| 1609483841 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 255 Shenstone Ln, Garner, NC 27529-6906 | 2020-09-30 |
| 1619584000 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7905 Lyles Ln Nw, Concord, NC 28027-7111 | 2020-09-29 |
| 1174130041 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 141 Gallery Center Dr, Mooresville, NC 28117-6307 | 2020-09-25 |
| 1013524909 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8811 Brier Creek Pkwy, Raleigh, NC 27617-7585 | 2020-09-25 |
| 1063029098 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2370 Walnut St, Cary, NC 27518-9210 | 2020-09-24 |
| 1114534120 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 11715 Carolina Place Pkwy, Pineville, NC 28134-8819 | 2020-09-24 |
| 1093326514 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4010 Durham Chapel Hill Blvd Ste 400, Durham, NC 27707-2425 | 2020-08-10 |
| 1346875028 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3916 E Franklin Blvd Ste 160, Gastonia, NC 28056-9220 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | ROCKINGHAM |
| Zip Code | 28379 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.