JOHN K. LACKEY, D.O.
NPI 1205951605
Ophthalmology in Summersville, WV

Active since March 21, 2007
702 PROFESSIONAL PARK DR, SUITE 102, SUMMERSVILLE, WV 26651(304) 872-6433(304) 872-6562 Get Directions Write a Review

NPPES record last updated: February 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John K. Lackey, D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN K. LACKEY, D.O. (NPI 1205951605) is a healthcare organization registered as an ophthalmology in Summersville, West Virginia and active in the NPI registry since March 2007. The organization lists John K Lackey, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1205951605
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameDR JOHN LACKEY INC
Location Address702 PROFESSIONAL PARK DR, SUITE 102Summersville, WV 26651-2018
Mailing Address702 Professional Park Dr, Suite 102Summersville, WV 26651-2018 · (304) 872-6433 · Fax (304) 872-6562
Fax(304) 872-6562
Organization SubpartNo
Authorized OfficialJohn K LackeyOwner Physician · (304) 872-6433
Enumeration DateMarch 21, 2007
Last NPPES UpdateFebruary 21, 2011
NPI 1205951605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WV · 736 WV
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

702 PROFESSIONAL PARK DR, Summersville, WV 26651

Other Names 1

Other NameJohn K. Lackey, D.o.

Other Identifiers 7

OtherDG9055WV · Medicare Railroad Group
Other0094926001WV · Medicaid - Supplier
Other1329809WV · Umwa Funds
Medicare NSC0257640001WV
Medicare PIN9298831WV
Other0094926002WI · Medicaid Group
Other1205951605WV · Npi - Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
702 PROFESSIONAL PARK DR, SUITE 100
SUMMERSVILLE, WV 26651
Eyewear Supplier
702 PROFESSIONAL PARK DR, SUITE102
SUMMERSVILLE, WV 26651
Urology
702 PROFESSIONAL PARK DR
SUMMERSVILLE, WV 26651
Psychologist (Clinical)
702 PROFESSIONAL PARK DR, STE 106
SUMMERSVILLE, WV 26651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205951605, enumerated as an "organization" on March 21, 2007.

The provider is located at 702 PROFESSIONAL PARK DR SUITE 102 SUMMERSVILLE, WV 26651 and the phone number is (304) 872-6433.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.