Healthcare Provider Details

I. General information

NPI: 1639084692
Provider Name (Legal Business Name): LUKE PATRICK ENGLER ABOC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 BLAKESLEE BOULEVARD DR E
LEHIGHTON PA
18235-9824
US

IV. Provider business mailing address

1731 BLAKESLEE BOULEVARD DR E
LEHIGHTON PA
18235-9824
US

V. Phone/Fax

Practice location:
  • Phone: 570-386-4019
  • Fax: 570-386-2842
Mailing address:
  • Phone: 570-386-4019
  • Fax: 570-386-2842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number272571
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: