Robert E. Deck, III O.D., PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003566 Issued in MI

Legal business name

ROBERT E. DECK, III O.D., PC

Practice address

81 Indianwood Rd
Suite 1
Lake Orion, MI 48362-1595

Phone

(248) 693-2321

Fax

(248) 693-2703

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert E. Deck III, O.D.

Title

President

Phone

(248) 693-2321

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Ellicott-Gasta, O.D.

  • Optometrist
  • Casco, MI
  • NPI 1174908057
  NPD (past)
• Marie Humphrey, O.D.

  • Optometrist
  • Livonia, MI
  • NPI 1740631290
  NPD (past)
• Jonathan Weston, O.D.

  • Corneal and Contact Management Optometrist
  • Ann Arbor, MI
  • NPI 1891100392
  NPD (past)
• Tiffany Kays Zair, O.D

  • Optometrist
  • Dearborn, MI
  • NPI 1679887814
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1538413588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 INDIANWOOD RD",
            "address_2": "SUITE 1",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621595",
            "telephone_number": "248-693-2321",
            "fax_number": "248-693-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 INDIANWOOD RD",
            "address_2": "SUITE 1",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621595",
            "telephone_number": "248-693-2321",
            "fax_number": "248-693-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. DECK, III O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "DECK III",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-693-2321",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900F36558",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943240332",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Renee Reuther
• Kathryn Ann Rice, M.D.
• Sarah Lynn Riggen, DPT
• Mary Kay Riley, MA, LPC
• Allan Richard Rinke Jr., MD
• Kathleen Lois Roberts, LLMSW
• Kevin Wallace Robertson, D.O.
• Robotic Rehab LLC (Robotic Rehab & Relief)
• Karolyn A Rodgers, CNM
• Aliscia Helen Roland

• Optometrist in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.