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DR. JOHN LACKEY, INC.
NPI 1609904663
Eyewear Supplier in Summersville, WV

Active since March 01, 2007
702 PROFESSIONAL PARK DR, SUITE102, SUMMERSVILLE, WV 26651(304) 872-6433(304) 872-6562 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Lackey, Inc. NPPES

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

DR. JOHN LACKEY, INC. (NPI 1609904663) is a healthcare organization registered as an eyewear supplier in Summersville, West Virginia and active in the NPI registry since March 2007. The organization lists John Lackey, Owner, as its authorized official.

NPPES Registry Identity

NPI1609904663
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameJOHN LACKEY, INC
Location Address702 PROFESSIONAL PARK DR, SUITE102Summersville, WV 26651-2018
Mailing Address702 Professional Park Dr, Suite 102Summersville, WV 26651-2018 · (304) 872-6433 · Fax (304) 872-6562
Phone(304) 872-6433
Fax(304) 872-6562
Organization SubpartNo
Authorized OfficialJohn LackeyOwner · (304) 872-6433
Enumeration DateMarch 1, 2007
Last NPPES UpdateNovember 3, 2011
✔ NPI 1609904663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in WV · 736
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
702 PROFESSIONAL PARK DR, Summersville, WV 26651
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Other Names 1

Other NameDr. John Lackey, Inc.

Other Identifiers 4

Other1205951605WV · Medicare Group Payer Npi (medical Practice)
Other1609904663WV · Dme Supplier Npi
Other00094926001WV · Medicaid Optical Supplier Number
Other0257640001WV · Medicare Dme Ptan (supplier Ptan)

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.

ROBERT CHARLES STANLEY D.O.
Family Medicine
702 PROFESSIONAL PARK DR, SUITE 100
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-2991
DR JOHN LACKEY INC
Ophthalmology
702 PROFESSIONAL PARK DR, SUITE 102
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-6433
MR. LARRY JACKSON LEGG M.A.
Psychologist (Clinical)
702 PROFESSIONAL PARK DR, STE 106
SUMMERSVILLE, WV 26651
Nicholas County (304) 883-2380
SUMMERSVILLE OUTPATIENT CENTER
Urology
702 PROFESSIONAL PARK DR
SUMMERSVILLE, WV 26651
Nicholas County (304) 883-2380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Lackey, Inc's NPI number?

The NPI number for John Lackey, Inc is 1609904663. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is also known as Dr. John Lackey, Inc..

Where is John Lackey, Inc located?

John Lackey, Inc is located at 702 Professional Park Dr Suite102, Summersville, WV 26651. The listed phone number is (304) 872-6433.

What is John Lackey, Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for John Lackey, Inc was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.