Organization
VISION & EYE MEDICAL DIAGNOSTIC LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHARLES DUKE O.D. (OWNER/DOCTOR)
(918) 266-3411
Entity
Organization
Contact information
Practice address
2310 NORTH HWY 66, SUITE A, CATOOSA, OK 74015-0098
(918) 266-3411
(918) 266-3412
Mailing address
PO BOX 98, CATOOSA, OK 74015-0098
(918) 266-3411
(918) 266-3412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
934
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763100A
—
OK
Enumeration date
12/24/2007
Last updated
05/04/2010
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