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Organization
ROGER A. DUKE, O.D., LLC
Active
Organization
ROGER A. DUKE, O.D., LLC
Active
Other names
Austin Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ALAN DUKE O.D. (OWNER/OPTOMETRIST)
(512) 443-4317
Entity
Organization
Contact information
Practice address
4409 MANCHACA RD, AUSTIN, TX 78745-1603
(512) 443-4317
(512) 443-0882
Mailing address
4409 MANCHACA RD, AUSTIN, TX 78745-1603
(512) 443-4317
(512) 443-0882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02775TG
TX
152WC0802X
Corneal and Contact Management Optometrist
02775TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
02775TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086RN
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
12/02/2008
Last updated
01/21/2009
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