Keith a. Huelsman OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4200 Issued in OH

Legal business name

KEITH A. HUELSMAN OD INC

Doing business as

Springboro Eye Care

Practice address

564 N Main St
Suite a
Springboro, OH 45066-8001

Phone

(937) 748-3937

Fax

(937) 748-5209

NPI assigned

Mar 18, 2009

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Allen Huelsman, OD

Title

Doctor

Phone

(937) 748-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Springboro Eye Care Doing business as

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1164663316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 N MAIN ST",
            "address_2": "SUITE A",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668001",
            "telephone_number": "937-748-3937",
            "fax_number": "937-748-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 N MAIN ST",
            "address_2": "SUITE A",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668001",
            "telephone_number": "937-748-3937",
            "fax_number": "937-748-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. HUELSMAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "HUELSMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "937-748-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3113884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000304246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "114040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springboro Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara S Hampton (Springboro Vision Center)
• Dhrumi Manish Karia
• Sue A Karnitis, MD
• Kathryn a. S. Wilson DO LLC
• Lindsay Erin Kearns, LPC
• Alan John Kercher, LP BOCP
• Kettering Medical Center (KHN Pharmacy Springboro)
• Kettering Medical Center - Sycamore Hospital
• Zareen A Khan, FNP
• Inna Khodzinska

• Optometrist in Springboro, OH
• Providers in Springboro, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.