Duke, Roger A.
Duke, Roger A. is an sole proprietor health care provider with primary practice located at 4409 Manchaca Rd , Austin TX 78745-1603. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Duke, Roger A. can be contacted via phone (512) 443-4317.Contact Information
Primary practice address
4409 Manchaca Rd
Austin TX 78745-1603
Phone: (512) 443-4317
Fax: (512) 443-0882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2775TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2775TG | Texas |
Profile Details
| NPI number | 1033106737 |
|---|---|
| LBN Legal business name | Duke, Roger A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jan 21st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033106737 | NPPES |
| Texas | Other | 82403Q | BLUE CROSS BLUE SHIELD OF TEXAS |
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