Johnny Ray Dukes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

767 Issued in SC

Practice address

929 N Main St
Lancaster, SC 29720-2188

Phone

(803) 285-8433

Fax

(803) 285-5071

NPI assigned

Aug 31, 2006

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dukes Eyecare LLC

  • Corneal and Contact Management Optometrist
  • Lancaster, SC
  • NPI 1184890873
  NPD Authorized official
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1235241381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N MAIN ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202188",
            "telephone_number": "803-285-8433",
            "fax_number": "803-285-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N MAIN ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202188",
            "telephone_number": "803-285-8433",
            "fax_number": "803-285-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "JOHNNY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA1001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiaolu Jia Dong, D.C.
• Linda Kathleen Dower
• Pamela M Drye
• Robert Duffell-Hoffman, MS RD LD
• Dukes Eyecare LLC
• Jennifer D Duley, PTA
• Dva Healthcare Renal Care Inc (Lancaster SC Dialysis)
• Lajoyce Eberhardt Shillingford, LPC
• Robert Malcolm Edwards, M.D.
• Dawn Egnaczak, N.P.

• Optometrist in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.

Verify at the official NPI Registry.