Active NPI
Duane C Muck, OD
- Optometrist
- Osborne, KS
National Provider Identifier
1598877532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1069-3
- Practice address
- 101 W Main St
Osborne, KS 67473-2402 - Phone
- (785) 346-5437
- Fax
- (785) 346-5438
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1069-3 | KS | Primary |
Addresses
Primary practice location
101 W Main St
Osborne, KS 67473-2402
Mailing address
101 W Main St
Osborne, KS 67473-2402
Phone (785) 346-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10692 | KS | MD | Social Worker |
| 1069-3 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Douglas D. Ayre Optometrist P a | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Larned, KS
- NPI 1710098892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1598877532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MAIN ST",
"city": "OSBORNE",
"state": "KS",
"postal_code": "674732402",
"telephone_number": "785-346-5437",
"fax_number": "785-346-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MAIN ST",
"city": "OSBORNE",
"state": "KS",
"postal_code": "674732402",
"telephone_number": "785-346-5437",
"fax_number": "785-346-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCK",
"first_name": "DUANE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1069-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osborne, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.