Keith Paul Andrews, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3978 Issued in MA

Practice address

103 Pleasant St
Malden, MA 02148

Phone

(781) 397-8213

Fax

(781) 397-8213

NPI assigned

Oct 25, 2006

Last updated

Jul 4, 2018By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

New England College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natick Eye Holdings, LLCGroup PAC ID 3173067527, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natick Eye Holdings, LLC

  dba Natick Eye Associates

  • Optometrist
  • Natick, MA
  • NPI 1467214254
  Medicare reassignment Care Compare group NPD
• Family Eye Care Center & Optical Gallery Inc.

  • Ophthalmology Physician
  • Westford, MA
  • NPI 1003900382
  Medicare reassignment NPD
• Natick Eye Associates, PC

  dba Burlington Optometric Associates

  • Optometrist
  • Natick, MA
  • NPI 1750453510
  Medicare reassignment NPD
• Lee Optical

  • Durable Medical Equipment & Medical Supplies
  • Malden, MA
  • NPI 1194843458
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1023192200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484907",
            "telephone_number": "781-324-4111",
            "fax_number": "781-397-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-397-8213",
            "fax_number": "781-397-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "KEITH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334944",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "W16138",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Family Health Care Group Services Co.
• Andaluna Dental
• Kimberly M Anderson
• Lauren Anderson
• Nico O Andrade
• Taylor L Andromidas, PSYD
• Gladys Angel Miranda
• Carmen Antonellis
• Jessica Yesenia Anzueto, BA
• James Ao

• Optometrist in Malden, MA
• Providers in Malden, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.