Keith a Kohorst OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD253 Issued in NV

Legal business name

KEITH A KOHORST OD

Practice address

2480 E Tompkins Ave
Ste #101
Las Vegas, NV 89121

Phone

(702) 456-1882

Fax

(702) 456-6083

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Keith Andrew Kohorst, OD

Title

Optometrist

Phone

(702) 456-1882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1104957679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE",
            "address_2": "STE #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-456-1882",
            "fax_number": "702-456-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE",
            "address_2": "STE #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-456-1882",
            "fax_number": "702-456-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A KOHORST OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KOHORST",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-456-1882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Keister
• Aissata Keita
• Mariama Keita
• Siriman Keita
• Scott Keiter-Charles
• Keith S Blum DO PC
• Keith S Blum DO PC
• Keith S Blum DO PC
• Ashley Keith
• Ciandra Keith

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.