NPIMap

Organization Active NPI

Vision and Eye Medical Diagnostic Laser Center

  • Optometrist
  • Catoosa, OK
National Provider Identifier
1942561691
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION AND EYE MEDICAL DIAGNOSTIC LASER CENTER
Practice address
2310 N Highway 66
Catoosa, OK 74015-3070
Phone
(918) 266-3411
Fax
(918) 266-3412
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Mr. Robert Charles Duke, ODNPI 1104894088
Title
Owner
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2310 N Highway 66
Catoosa, OK 74015-3070

Mailing address

PO Box 98
Catoosa, OK 74015-0098
Phone (918) 266-3411

National Provider Directory

National Provider Directory
Tax ID family
Vision and Eye Medical Diagnostic Laser Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1942561691",
    "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 N HIGHWAY 66",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153070",
            "telephone_number": "918-266-3411",
            "fax_number": "918-266-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION AND EYE MEDICAL DIAGNOSTIC LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-266-3411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 30, 2012; 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.