MEDICARE: DIANNA R. LOKEY OD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC 3019	FL

General Provider Information

NPI Number	:	1497882104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIANNA R. LOKEY OD PA

Provider Business Mailing Address
First Line	:	3025 ROCKFORD FALLS DR S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-4876
Country	:	US
Telephone Number	:	904-992-9902
Fax Number	:

Provider Business Practice Location Address
First Line	:	2526 3RD ST S
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-6024
Country	:	US
Telephone Number	:	904-247-2379
Fax Number	:	904-247-2380

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DIANNA R LOKEY
Credential	:	OD
Telephone Number	:	904-992-9902

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	12/09/2013

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