Organization Name: | VISION & EYE MEDICAL DIAGNOSTIC & LASER CENTER, INC. |
NPI Number: | 1114935228 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT CHARLES DUKE (OPTOMETRIST) |
Mailing Address: | 2319 N. Highway 66 Catoosa |
State: | OK US |
Postal Code: | 74127 |
Phone Number: | 9182663411 |
Fax Number: | 9182663412 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |