Christina Huth Keshava, O.D.
Individual provider Active NPI Optometrist · Rutland, VT
NPI 1114099405 · NPPES record last updated Jul 25, 2011
Key facts
- NPI
- 1114099405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 030.0000347 (VT)
- Practice address
- 69 Allen St
Suite 15
Rutland, VT 05701-4564 - Phone
- (802) 775-0038
- Fax
- (802) 747-0602
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Vermont Eye Care, P.C.
Practice addresses (Care Compare)
69 Allen St
Suite 15
Rutland, VT 05701-4879
Phone (802) 775-0038
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080428000242 | VT | Practitioner - Optometry | 2860570132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030.0000347 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Eye Care, P.C. | Current |
Accepting new patients | |
| Middlebury Eye Associates Inc | Optometrist | Past |
Accepting new patients |
| Vermont Optical Corp | Past |
Accepting new patients |
Locations
69 Allen St
Ste 15
Rutland, VT 05701
Phone (802) 775-0038
Interoperability endpoints
- ckeshava@centralvermonteyecare.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 030.0000347 | VT | Yes |
Addresses
Primary practice location
69 Allen St
Suite 15
Rutland, VT 05701-4564
Mailing address
18 Ruth Ave
Rutland, VT 05701-9145
Phone (802) 747-6359
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.