JEFFERY LACKEY (NPI# 1013464270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013464270 |
| Entity Type | Individual |
| Full Name | JEFFERY LACKEY |
| Practice Address |
2343 2nd Ave E Suite H Oneonta AL 35121-2756 |
| Practice Telephone | 2053537732 |
| Mailing Telephone | 2053537732 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
2343 2ND AVE E SUITE H |
| City | ONEONTA |
| State | AL |
| Zip Code | 35121-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067067 | Tamara Ann Mason | Pediatrics | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2006-03-17 |
| 1679136691 | Lindsay K Davis | Nurse Practitioner | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2019-04-16 |
| 1942726021 | Haley Elise Taylor | Nurse Practitioner | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2017-08-20 |
| 1588904791 | Horizon Medical Clinic LLC | Clinic/Center | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2013-02-25 |
| 1083999171 | Robin Fredrica Guion | Nurse Practitioner | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1023588688 | Melissa Kay Thompson | Counselor | 25522 Al-75, Oneonta, AL 35121 | 2018-11-27 |
| 1497105274 | Kendra Nicole Menghini | Specialist/Technologist | 27550 Al-75 Suite 102, Oneonta, AL 35121 | 2016-06-13 |
| 1992144240 | Evergreen Medical Cosmetic Laser Center | Clinic/Center | 104 1st Ave East, Oneonta, AL 35121 | 2013-06-20 |
| 1871725382 | Renay Horsley Carroll | Counselor | 898 Springville Blvd, Oneonta, AL 35121 | 2009-08-17 |
| 1801051354 | Express Care Clinic of Oneonta, P.C. | Internal Medicine | 2040 2nd Avenue East, Oneonta, AL 35121 | 2008-07-24 |
| 1962526665 | Blount Co Mrdd, Inc | Case Management | 406 5th St N, Suite 5 & 6, Oneonta, AL 35121 | 2007-03-19 |
| 1629138714 | Miller Drug Co Inc | Pharmacy | 212 1st Ave East, Oneonta, AL 35121 | 2006-12-11 |
| 1154426534 | Jay E Hypes | Dentist | 52 Valley Rd, Oneonta, AL 35121 | 2006-09-13 |
| 1477667376 | Pharmacy Inc | Pharmacy | 27550 State Hwy 75, Suite #107, Oneonta, AL 35121 | 2006-08-18 |
| Find all providers in zip 35121 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390667 | Sheila M Thomas | Technician/Technologist | 1 Foxcare Dr Ste 100, Oneonta, NY 13820-2681 | 2012-10-10 |
| 1932416708 | Danette Diane Christensen | Technician/Technologist | 1 Associate Dr, Oneonta, NY 13820-2266 | 2010-09-01 |
| 1063728889 | Lisa Lynn Dolezel | Technician/Technologist | 1 Associate Dr, Oneonta, NY 13820-2266 | 2010-08-31 |
| 1619108644 | Danielle Marie Ragozzine | Technician/Technologist | 5054 State Highway 23, Oneonta, NY 13820-3506 | 2009-08-08 |
| 1073739603 | Todd Strignano | Technician/Technologist | 300 Main St, Oneonta, NY 13820-2500 | 2007-04-18 |
| 1740361765 | Wal-mart Stores East, Lp | Technician/Technologist | 2453 2nd Ave E, Oneonta, AL 35121-2791 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
| 1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
| Find all providers with the same taxonomy | ||||
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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.