MEDICARE: DR. LUKE JOSEPH ARMSTRONG OD

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	046011455	IL

General Provider Information

NPI Number	:	1063030302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE JOSEPH ARMSTRONG OD

Provider Business Mailing Address
First Line	:	303 N KELLER DR
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-1859
Country	:	US
Telephone Number	:	217-342-2672
Fax Number	:	217-342-2681

Provider Business Practice Location Address
First Line	:	1120 LAKE LAND BLVD
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-5541
Country	:	US
Telephone Number	:	217-258-8466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2020
Last Update Date	:	07/13/2020

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Directions to “ DR. LUKE JOSEPH ARMSTRONG OD” Practice Location

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