Active NPI
Vision & Eye Medical Diagnostic Laser Center
- Optometrist
- Catoosa, OK
National Provider Identifier
1801070024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 934
- Legal business name
- VISION & EYE MEDICAL DIAGNOSTIC LASER CENTER
- Practice address
- 2310 North Hwy 66
Suite a
Catoosa, OK 74015-0098 - Phone
- (918) 266-3411
- Fax
- (918) 266-3412
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Charles Duke, O.D.
- Title
- Owner/Doctor
- Phone
- (918) 266-3411
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 934 | OK | Primary |
Addresses
Primary practice location
2310 North Hwy 66
Suite a
Catoosa, OK 74015-0098
Mailing address
PO Box 98
Catoosa, OK 74015-0098
Phone (918) 266-3411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100763100A | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Vision and Eye Medical Diagnostic Laser Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Catoosa, OK
- NPI 1942561691
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Catoosa, OK
- NPI 1104894088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1801070024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740150098",
"telephone_number": "918-266-3411",
"fax_number": "918-266-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 NORTH HWY 66",
"address_2": "SUITE A",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740150098",
"telephone_number": "918-266-3411",
"fax_number": "918-266-3412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION & EYE MEDICAL DIAGNOSTIC LASER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "DUKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "918-266-3411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100763100A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catoosa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.