Provider Demographics
NPI:1609875723
Name:DUKAR, OMAR M (MD)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:M
Last Name:DUKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:UMAR
Other - Middle Name:M
Other - Last Name:DUKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1020 W BUENA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-5150
Mailing Address - Country:US
Mailing Address - Phone:812-423-3131
Mailing Address - Fax:812-426-7020
Practice Address - Street 1:1020 W BUENA VISTA RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-5150
Practice Address - Country:US
Practice Address - Phone:812-423-3131
Practice Address - Fax:812-426-7020
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY28908207W00000X
IN01041009A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100349890AMedicaid
INF52764Medicare UPIN
IN100349890AMedicaid