NPIMap

Organization Active NPI

Roger a. Duke, O.D., LLC

Doing business as Austin Eyecare

  • Optometrist
  • Austin, TX
National Provider Identifier
1568607729
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02775TG Issued in TX
Legal business name
ROGER A. DUKE, O.D., LLC
Doing business as
Austin Eyecare
Practice address
4409 Manchaca Rd
Austin, TX 78745-1603
Phone
(512) 443-4317
Fax
(512) 443-0882
NPI assigned
Dec 2, 2008
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Roger Alan Duke, O.D.NPI 1033106737
Title
Owner/Optometrist
Phone
(512) 443-4317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02775TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 02775TG TX
Low Vision Rehabilitation Optometrist 152WL0500X 02775TG TX

Addresses

Primary practice location

4409 Manchaca Rd
Austin, TX 78745-1603

Mailing address

4409 Manchaca Rd
Austin, TX 78745-1603
Phone (512) 443-4317

Other identifiers 1

IdentifierTypeStateIssuer
0086RNOtherTXBLUE CROSS BLUE SHIELD OF TEXAS

Other names 1

  • Austin Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1568607729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451603",
            "telephone_number": "512-443-4317",
            "fax_number": "512-443-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451603",
            "telephone_number": "512-443-4317",
            "fax_number": "512-443-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. DUKE, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "512-443-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02775TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "02775TG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "02775TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0086RN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.