Individual provider Active NPI

Patricia Murphy Keech, O.D.

  • Corneal and Contact Management Optometrist
  • Shoreline, WA
National Provider Identifier
1023003381
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OD00001235 Issued in WA
Practice address
701 N 182ND St
Suite 101
Shoreline, WA 98133-4430
Phone
(206) 542-7406
Fax
(206) 546-2266
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OD00001235 WA Primary

Addresses

Primary practice location

701 N 182ND St
Suite 101
Shoreline, WA 98133-4430

Mailing address

701 N 182ND St
Suite 101
Shoreline, WA 98133-4430
Phone (206) 542-7406

Other identifiers 1

IdentifierTypeStateIssuer
2022192MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20100224000570 WA Practitioner - Optometry 7618056490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001235WAMDCorneal and Contact Management Optometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1023003381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 182ND ST",
            "address_2": "SUITE 101",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334430",
            "telephone_number": "206-542-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 182ND ST",
            "address_2": "SUITE 101",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334430",
            "telephone_number": "206-542-7406",
            "fax_number": "206-546-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEECH",
        "first_name": "PATRICIA",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD00001235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022192",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.