Jonathan Keen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003087 Issued in VA

Practice address

2003 East Main Street
Lebanon, VA 24266

Phone

(276) 883-0889

NPI assigned

Nov 19, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearsight Eye Care Amber Hurley OD PLLCGroup PAC ID 4183012081, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clearsight Eye Care Amber Hurley OD PLLC

  • Optometrist
  • Tazewell, VA
  • NPI 1235726993
  Medicare reassignment Care Compare group NPD
• Wythe Eye Associates Amanda Brewer-Smith OD Inc

  • Optometrist
  • Wytheville, VA
  • NPI 1598820680
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1013674597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515384",
            "telephone_number": "276-385-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-883-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Ferguson, D.D.S., PC
• Hailey Justus
• Kathy Jo Justus, CFNP
• K-VA-T Food Stores Inc
• Edgar Michael Kahn, M.D.
• Tanya Dawn Keller, FNP-C, APRN
• Gloria Faye Kennedy, FNP-BC
• Kent Medical
• Wiley R Kent II, PA
• John Martin Kerr, MD

• Optometrist in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.