Provider Demographics
NPI:1497882104
Name:DIANNA R. LOKEY OD PA
Entity Type:Organization
Organization Name:DIANNA R. LOKEY OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOKEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:904-992-9902
Mailing Address - Street 1:3025 ROCKFORD FALLS DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-4876
Mailing Address - Country:US
Mailing Address - Phone:904-992-9902
Mailing Address - Fax:
Practice Address - Street 1:2526 3RD ST S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-6024
Practice Address - Country:US
Practice Address - Phone:904-247-2379
Practice Address - Fax:904-247-2380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3019152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty