DR. KELLY FAUST DUKE JR. (NPI# 1558458125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558458125 |
| Entity Type | Individual |
| Full Name | DR. KELLY FAUST DUKE JR. |
| Credential | O.D. |
| Practice Address |
2271 Town Center Ave Ste 101 Viera FL 32940-6108 |
| Practice Telephone | 3216328356 |
| Practice Fax Number | 3216324449 |
| Mailing Telephone | 3216328356 |
| Mailing Fax Number | 3216324449 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1406 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679762678 | Kelly Lee Duke | Occupational Therapist | 1919 Ridgewood Dr, Norman, OK 73071-1645 | 2007-10-16 |
| 1710346622 | Kelly Duke | Social Worker | 8700 Manchaca Rd, Suite 605, Austin, TX 78748-5371 | 2016-02-19 |
| 1720418395 | Kelly Duke | Counselor | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2013-11-19 |
| 1427397165 | Kelly Lynn Duke | Counselor | 701 E 3rd Ave, Spokane, WA 99202 | 2013-01-31 |
| 1437404191 | Kelly Ann Duke | Physical Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2012-07-18 |
| 1376522425 | Kelly Liner Duke | Physician Assistant | 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300 | 2006-01-16 |
| Street Address |
2271 TOWN CENTER AVE STE 101 |
| City | VIERA |
| State | FL |
| Zip Code | 32940-6108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962529495 | Krystina Wreggit | Optometrist | 6729 Colonnade Ave, Ste. 109, Viera, FL 32940-6162 | 2007-03-22 |
| 1730166810 | Kenneth S Calhoun | Optometrist | 6729 Colonnade Ave Ste 109, Viera, FL 32940-6119 | 2005-12-29 |
| 1548703788 | Eyecare Associates of Viera | Optometrist | 8061 Spyglass Hill Rd, Suite 104a, Viera, FL 32940-8297 | 2016-11-21 |
| 1184994733 | Dr. Gordon J. Penn and Associates Pa | Optometrist | 8500 N Wickham Rd, Viera, FL 32940-6600 | 2012-01-12 |
| 1508807595 | John A. Dziadul Jr. | Optometrist | 2900 Veterans Way, Viera, FL 32940-8007 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.