Individual provider Active NPI

Martha Nguyen-Keelan, OD

  • Optometrist
  • Brick, NJ
National Provider Identifier
1043359896
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5552 Issued in NJ
Practice address
149 Van Zile Rd
Keelan Eyecare
Brick, NJ 08724-3158
Phone
(732) 458-4800
Fax
(732) 458-4877
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5552 NJ Primary

Addresses

Primary practice location

149 Van Zile Rd
Keelan Eyecare
Brick, NJ 08724-3158

Mailing address

149 Van Zile Rd
Brick, NJ 08724-3158
Phone (732) 459-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050727000179 NJ Practitioner - Optometry 0446288963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Ocean Family Eyecare Inc.Group PAC ID 9032264122, 2 clinicians

Practice addresses (Care Compare)

149 Van Zile Rd
Brick, NJ 08724-3158

3107 Bridge Ave
Point Pleasant, NJ 08742-3455
Phone (732) 690-3472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5552NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Family Eyecare Inc. Optometrist CurrentSince Jul 20, 2009 Accepting new patients

Locations

149 Van Zile Rd
Brick, NJ 08724
Phone (732) 458-4800

3107 Bridge Ave
Point Pleasant Boro, NJ 08742
Phone (732) 690-3472

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1043359896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 VAN ZILE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243158",
            "telephone_number": "732-459-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 VAN ZILE RD",
            "address_2": "KEELAN EYECARE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243158",
            "telephone_number": "732-458-4800",
            "fax_number": "732-458-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-KEELAN",
        "first_name": "MARTHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.