Individual provider Active NPI

Brandy Lynn Keener, O.D.

  • Optometrist
  • Hopwood, PA
National Provider Identifier
1083765838
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000423 Issued in PA
Practice address
1249 Old National Pike
Hopwood Eye Center
Hopwood, PA 15445
Phone
(304) 265-0884
Fax
(304) 265-5990
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000423 PA Primary

Addresses

Primary practice location

1249 Old National Pike
Hopwood Eye Center
Hopwood, PA 15445

Mailing address

RR 3 Box 261
Grafton, WV 26354-9545
Phone (304) 265-2433

Other identifiers 1

IdentifierTypeStateIssuer
0017179960010MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040907000520 PA Practitioner - Optometry 3072589555 Reassigns benefits to 2 organizations
Practice locations: Uniontown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000423PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Cornerstone Care Inc Past Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

301 S Hills Vlg
Pittsburgh, PA 15241
Phone (412) 831-6940

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083765838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 261",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263549545",
            "telephone_number": "304-265-2433",
            "fax_number": "304-265-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 OLD NATIONAL PIKE",
            "address_2": "HOPWOOD EYE CENTER",
            "city": "HOPWOOD",
            "state": "PA",
            "postal_code": "15445",
            "telephone_number": "304-265-0884",
            "fax_number": "304-265-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017179960010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopwood, PA

Sources for this page

Verify at the official NPI Registry.