Provider Demographics
NPI:1467415885
Name:BINKLEY, DUANE KEITH (OD)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:KEITH
Last Name:BINKLEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5211
Mailing Address - Country:US
Mailing Address - Phone:252-633-2901
Mailing Address - Fax:252-633-2037
Practice Address - Street 1:3001 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5211
Practice Address - Country:US
Practice Address - Phone:252-633-2901
Practice Address - Fax:252-633-2037
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1536152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890907TMedicaid
NC0907TOtherBCBS PROV #
NC2469601BMedicare PIN
NC890907TMedicaid
NC2469601FMedicare ID - Type Unspecified
NC2469601KMedicare ID - Type Unspecified
NC2469601CMedicare ID - Type Unspecified
NC2469601NMedicare ID - Type Unspecified
NC2469601HMedicare ID - Type Unspecified
NC2469601PMedicare PIN
NC0907TOtherBCBS PROV #
NC2469601AMedicare ID - Type Unspecified