Provider Demographics
NPI:1730472432
Name:LUKE EYE ASSOCIATES, LP
Entity Type:Organization
Organization Name:LUKE EYE ASSOCIATES, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:601-323-6277
Mailing Address - Street 1:5802 SUNDANCE PL
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5027
Mailing Address - Country:US
Mailing Address - Phone:432-695-4285
Mailing Address - Fax:
Practice Address - Street 1:200 W INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-2030
Practice Address - Country:US
Practice Address - Phone:432-686-8070
Practice Address - Fax:432-686-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6724152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty