Individual provider Active NPI

Robert William Duncan, OD

  • Optometrist
  • Festus, MO
National Provider Identifier
1700402500
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020014886 Issued in MO
Practice address
341A N Creek Dr
Festus, MO 63028-2657
Phone
(636) 931-5665
NPI assigned
Jun 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2020014886 MO Primary

Addresses

Primary practice location

341A N Creek Dr
Festus, MO 63028-2657

Mailing address

PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393

Other practice location 1

730 S Kirkwood Rd
Kirkwood, MO 63122-5929
Phone (314) 821-2626

Other practice location 2

3936 Vogel Rd
Arnold, MO 63010-3790
Phone (636) 200-4393

Other practice location 3

4305 Butler Hill Rd
Saint Louis, MO 63128-3702
Phone (314) 487-4744

Other practice location 4

12406 Tesson Ferry Rd
Saint Louis, MO 63128-2702
Phone (314) 843-1716

Other practice location 5

10101 Gravois Rd
Affton, MO 63123-4025
Phone (314) 282-9050

Other practice location 6

5632A Telegraph Rd
Saint Louis, MO 63129-4243
Phone (314) 334-7000

Other practice location 7

6415 Chippewa St
Saint Louis, MO 63109-2104
Phone (314) 457-1880

Other practice location 8

1259 Main St
Imperial, MO 63052-3852
Phone (636) 461-0470

Other practice location 9

2572 LeMay Ferry Rd
Saint Louis, MO 63125-3131
Phone (314) 892-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20200622000183 MO Practitioner - Optometry 6204258213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Eyecare Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robertduncan@direct.eyecare-partners.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1700402500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341A N CREEK DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282657",
            "telephone_number": "636-931-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 S Kirkwood Rd",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631225929",
            "country_code": "US",
            "telephone_number": "314-821-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3936 Vogel Rd",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630103790",
            "country_code": "US",
            "telephone_number": "636-200-4393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4305 Butler Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283702",
            "country_code": "US",
            "telephone_number": "314-487-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12406 Tesson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282702",
            "country_code": "US",
            "telephone_number": "314-843-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "Affton",
            "state": "MO",
            "postal_code": "631234025",
            "country_code": "US",
            "telephone_number": "314-282-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5632A Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631294243",
            "country_code": "US",
            "telephone_number": "314-334-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6415 Chippewa St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092104",
            "country_code": "US",
            "telephone_number": "314-457-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1259 Main St",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "MO",
            "postal_code": "630523852",
            "country_code": "US",
            "telephone_number": "636-461-0470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2572 LeMay Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631253131",
            "country_code": "US",
            "telephone_number": "314-892-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020014886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.