Dr Bill Keating, OD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AR2463 Issued in AR

Legal business name

DR BILL KEATING, OD PA

Doing business as

Fort Smith Eye Clinic

Practice address

8301 Rogers Ave
Doctor's Office
Fort Smith, AR 72903-5236

Phone

(479) 452-1580

Fax

(479) 452-6910

NPI assigned

Aug 8, 2014

Last updated

Aug 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bill Keating, ODNPI 1205935111

Title

Owner

Phone

(479) 452-1580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Smith Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bill C Keating, OD

  • Optometrist
  • Fort Smith, AR
  • NPI 1205935111
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1033528518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10957",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170957",
            "telephone_number": "479-452-1580",
            "fax_number": "479-452-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ROGERS AVE",
            "address_2": "DOCTOR'S OFFICE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035236",
            "telephone_number": "479-452-1580",
            "fax_number": "479-452-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BILL KEATING, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-452-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "AR2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132180722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Smith Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Dougherty, M.S. CCC-SLP
• Kevin Douglas
• Madison A Dowdy, QBHP
• Bryan Downing, DDS
• Christian Downs
• Dr Mitchell R Harper
• Dr Tom a Wood Chiropractic Inc (Wood Chiropractic)
• Dr. Bradley M. Short, D.O., P.a.
• Dr. Brooks K Fiser, DDS PA (Fiser Family Dental)
• Dr. Mark's Eye Care, P.a.

• Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.