Individual provider Active NPI

Robert Charles Duke, OD

  • Optometrist
  • Catoosa, OK
National Provider Identifier
1104894088
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
934 Issued in OK
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

Updated by the provider on May 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
934OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision & Eye Medical Diagnostic Laser Center Optometrist PastSince Nov 28, 2011 Accepting new patients
Vision and Eye Medical Diagnostic Laser Center Optometrist Past Accepting new patients
Dr. Samuel Presley & Associates, Inc. Optometrist PastSince Mar 1, 2021 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.

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

Verify at the official NPI Registry.