Keith Edward Earley Jr., M.D.
Individual provider Active NPI Ophthalmology Physician · Keesler Afb, MS
NPI 1174833602 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1174833602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 01068798A (IN)
- Practice address
- 301 Fisher Ave
Keesler Afb, MS 39530 - Phone
- (228) 377-1110
- NPI assigned
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Antonio Eye Center, PA
Practice addresses (Care Compare)
14807 San Pedro Ave
San Antonio, TX 78232-3708
Phone (210) 495-2020
17738 Ripps Kreusler
Schertz, TX 78154-3035
Phone (210) 226-6169
19292 Stone Oak Pkwy
San Antonio, TX 78258-3222
Phone (210) 494-4747
2119 Commercial Ave
San Antonio, TX 78221-1420
Phone (210) 922-0604
710 Augusta
San Antonio, TX 78215-1904
Phone (210) 226-6169
800 McCullough Ave
San Antonio, TX 78215-1625
Phone (210) 242-7555
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 86.09
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 82.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 86 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221130001836 | TX | Practitioner - Ophthalmology | 9335578699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Eye Center, P.a. | Current |
Accepting new patients | |
| San Antonio Eye Center, PA | Current |
Accepting new patients | |
| San Antonio Eye Center, PA | Ophthalmology | Current | Accepting new patients |
| San Antonio Eye Center PA | General Practice | Past | Accepting new patients |
Locations
19292 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 490-6759
4203 E Southcross Blvd
San Antonio, TX 78222
801 Brooklyn Ave
Ste 200
San Antonio, TX 78215
14807 San Pedro Ave
San Antonio, TX 78232
Phone (210) 495-2020
710 Augusta
San Antonio, TX 78215
Phone (210) 225-6131
6151 NW Loop 410
Ste 200
San Antonio, TX 78238
Phone (210) 222-9172
523 Dallas St
San Antonio, TX 78215
715 Camden St
San Antonio, TX 78215
Phone (210) 692-0218
511 Dallas St
San Antonio, TX 78215
999 E Basse Rd
Ste 127
San Antonio, TX 78209
Phone (210) 821-6901
11149 Westwood Loop
San Antonio, TX 78253
800 McCullough Ave
San Antonio, TX 78215
Phone (210) 226-8189
622 Camden St
San Antonio, TX 78215
Phone (210) 224-1881
2119 Commercial Ave
San Antonio, TX 78221
Phone (210) 922-0604
17738 Ripps Kreusler
Schertz, TX 78154
Interoperability endpoints
- keith.early.p1@direct.saeye.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01068798A | IN | Yes |
Addresses
Primary practice location
301 Fisher Ave
Keesler Afb, MS 39530
Mailing address
301 Fisher Ave
Keesler Afb, MS 39530
Phone (228) 377-1110
Other providers in Keesler Afb, MS
- Giulia Disanto
- Mary Anne M Dueitt
- Christina Marie Dukes
- Kathleen Bet Dusenbury
- Jennifer Gayle Eaglebarger
- Roland Edward Engel
- Anthony Esparza
- Fernando H Ferrera
- Jennifer Mary Field
- Jeffrey Allen Ford
All providers in Keesler Afb, MS · Ophthalmology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. 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.