Individual provider Active NPI

Amy Dee-Lyte Buchanan Keene, O.D.

  • Optometrist
  • Dobson, NC
National Provider Identifier
1114295789
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2286 Issued in NC
Practice address
212 S Main Street
Dobson, NC 27017
Phone
(336) 386-8526
Fax
(336) 386-4180
NPI assigned
Dec 9, 2011
Last updated
Nov 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002153 VA
Optometrist 152W00000X 3007 TN
Optometrist 152W00000X 2055-IOD WV
Optometrist 152W00000X 2286 NC Primary

Addresses

Primary practice location

212 S Main Street
Dobson, NC 27017

Mailing address

220 S Main St
Dobson, NC 27017-8428
Phone (423) 967-6531

Other practice location 1

3101 E Cumberland Rd
Bluefield, WV 24701-4960
Phone (304) 325-3603

Other practice location 2

220 S Main St
Dobson, NC 27017-8428
Phone (336) 386-8526

Other identifiers 1

IdentifierTypeStateIssuer
1114295789MedicaidVA

Other names 1

  • Dr. Amy Dee-Lyte Keene Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20121106000392 VA Practitioner - Optometry 9133381171 Reassigns benefits to 2 organizations
I20190501001795 WV Practitioner - Optometry 9133381171 Reassigns benefits to 1 organization
I20200129000025 NC Practitioner - Optometry 9133381171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

212 S Main St
Dobson, NC 27017-8428
Phone (336) 386-8526

3101 E Cumberland Rd
Bluefield, WV 24701-4960
Phone (304) 325-3603

819 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 972-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.65 of 100Reported as group
Quality
45.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007TNMDMental Health Counselor
2286NCMDOptometrist
0618002153VAMDOptometrist
2055-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 6, 2020 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jan 6, 2020 Accepting new patients
Family Eye Health Care Clinic PLLC Optometrist CurrentSince Mar 4, 2019 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Envision Professional Group, PLLC Single Specialty CurrentSince Nov 2, 2020 Accepting new patients
Wythe Eye Associates Amanda Brewer-Smith OD Inc Optometrist CurrentSince Sep 12, 2012 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Dr. Torrey J. Carlson & Associates Optometrist PastSince Jul 28, 2003 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

212 S Main St
Dobson, NC 27017
Phone (336) 386-8526

220 S Main St
Dobson, NC 27017
Phone (336) 386-8526

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157

530 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-0033

3101 E Cumberland Rd
Bluefield, WV 24701
Phone (304) 325-3603

Interoperability endpoints

  • Direct secure messaging: ak@envisioneyeva.emadirect.md
  • Direct secure messaging: amykeene@direct.eyecare-partners.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1114295789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178428",
            "telephone_number": "423-967-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN STREET",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-386-8526",
            "fax_number": "336-386-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 E Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247014960",
            "country_code": "US",
            "telephone_number": "304-325-3603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Main St",
            "address_purpose": "LOCATION",
            "city": "Dobson",
            "state": "NC",
            "postal_code": "270178428",
            "country_code": "US",
            "telephone_number": "336-386-8526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN KEENE",
        "first_name": "AMY",
        "middle_name": "DEE-LYTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002153",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3007",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2055-IOD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114295789",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KEENE",
            "middle_name": "DEE-LYTE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.