Organization Active NPI

Duncan Family Eye Care Inc

Doing business as Marlow Family Eye Care

  • Optometrist
  • Duncan, OK
National Provider Identifier
1750613626
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2056 Issued in OK
Legal business name
DUNCAN FAMILY EYE CARE INC
Doing business as
Marlow Family Eye Care
Practice address
3590 N Highway 81
Duncan, OK 73533-8930
Phone
(580) 255-9717
Fax
(580) 255-7598
NPI assigned
Feb 3, 2010
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Jody W. AtchleyNPI 1730244302
Title
President
Phone
(580) 255-9717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2056 OK Primary

Addresses

Primary practice location

3590 N Highway 81
Duncan, OK 73533-8930

Mailing address

3590 N Highway 81
Duncan, OK 73533-8930
Phone (580) 255-9717

Other practice location 1

405 S Broadway St
Marlow, OK 73055-3029
Phone (580) 658-5774

Other names 1

  • MARLOW FAMILY EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110726000619 OK Part B Supplier - Clinic/Group Practice 5698943264 Receives reassigned benefits from 5 practitioners
Practice locations: Marlow, OK; Duncan, OK
O20141205002127 OK DME Supplier - Physician - Optometrist 5698943264 Practice locations: Duncan, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Duncan Family Eye Care3590 N Highway 81, Duncan, OK 73533-8930(580) 255-9717 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 13, 2011

National Provider Directory

National Provider Directory

Locations

2016 N Highway 81
Duncan, OK 73533
Phone (580) 255-9717

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1750613626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 N HIGHWAY 81",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735338930",
            "telephone_number": "580-255-9717",
            "fax_number": "580-255-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 N HIGHWAY 81",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735338930",
            "telephone_number": "580-255-9717",
            "fax_number": "580-255-7598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Marlow",
            "state": "OK",
            "postal_code": "730553029",
            "country_code": "US",
            "telephone_number": "580-658-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUNCAN FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "ATCHLEY",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-255-9717"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARLOW FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.