Kelly Faust Duke Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1406 Issued in FL

Practice address

2271 Town Center Ave
Ste 101
Viera, FL 32940-6108

Phone

(321) 632-8356

Fax

(321) 632-4449

NPI assigned

Oct 6, 2006

Last updated

May 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Melbourne, FL
  • NPI 1326305459
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1558458125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 TOWN CENTER AVE",
            "address_2": "STE 101",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406108",
            "telephone_number": "321-632-8356",
            "fax_number": "321-632-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 TOWN CENTER AVE",
            "address_2": "STE 101",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406108",
            "telephone_number": "321-632-8356",
            "fax_number": "321-632-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "KELLY",
        "middle_name": "FAUST",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Elizabeth Dowling, MS, CCC-SLP
• Dr. Gordon J. Penn and Associates PA
• Dresner Eye Care LLC
• Mark Steven Dresner, M.D.
• Ashley Duclos
• Delbert Ernest Duncklee Jr., LCSW
• Brandi Tashiana Durkins, LCSW
• Murray Dweck, MD
• Laura Dyer
• John A. Dziadul Jr., OD

• Optometrist in Viera, FL
• Providers in Viera, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.