Active NPI
Robert Charles Duke, OD
- Optometrist
- Catoosa, OK
National Provider Identifier
1104894088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 934
- Practice address
- 2310 N Highway 66
Suite a
Catoosa, OK 74015-2409 - Phone
- (918) 266-3411
- Fax
- (918) 266-3412
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 934 | OK | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 934 | OK |
Addresses
Primary practice location
2310 N Highway 66
Suite a
Catoosa, OK 74015-2409
Mailing address
PO Box 98
Catoosa, OK 74015-0098
Phone (918) 266-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 934 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision & Eye Medical Diagnostic Laser Center | Optometrist | Past | Accepting new patients |
| Vision and Eye Medical Diagnostic Laser Center | Optometrist | Past | Accepting new patients |
| Dr. Samuel Presley & Associates, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Catoosa, OK
- NPI 1801070024
-
- Optometrist
- Catoosa, OK
- NPI 1942561691
-
- Optometrist
- Tulsa, OK
- NPI 1124264007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1104894088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740150098",
"telephone_number": "918-266-3411",
"fax_number": "918-266-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N HIGHWAY 66",
"address_2": "SUITE A",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740152409",
"telephone_number": "918-266-3411",
"fax_number": "918-266-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "934",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OK",
"license": "934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Catoosa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.