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NPI Code Detail

MEDICARE: DR. DUANE KEITH BINKLEY O.D.

MEDICARE:  DR. DUANE KEITH BINKLEY  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1536NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20907TOTHERNCBCBS PROV #

General Provider Information

NPI Number : 1467415885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUANE KEITH BINKLEY O.D.
Provider Business Mailing Address
First Line : 3001 MARTIN LUTHER KING JR BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5211
Country : US
Telephone Number : 252-633-2901
Fax Number : 252-633-2037
Provider Business Practice Location Address
First Line : 3001 MARTIN LUTHER KING JR BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5211
Country : US
Telephone Number : 252-633-2901
Fax Number : 252-633-2037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 01/02/2008

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