Robert E Deck III, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROBERT E DECK III, O.D., PLLC

Practice address

5323 E Court St N
Burton, MI 48509-1539

Phone

(810) 744-9596

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Robert Emmett Deck III, ODNPI 1437177342

Title

President

Phone

(248) 701-7505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Emmett Deck III, O.D.

  • Optometrist
  • Lake Orion, MI
  • NPI 1437177342
  NPD Authorized official

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1720779275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 ASCOT AVE",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283503",
            "telephone_number": "248-701-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 E COURT ST N",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091539",
            "telephone_number": "810-744-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E DECK III, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "DECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EMMETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-701-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Burton, MI
• Providers in Burton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.