Keil Lasik Vision Center, PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5101014872 Issued in MI

Legal business name

KEIL LASIK VISION CENTER, PLC

Practice address

2500 E Beltline Ave SE
Ste C
Grand Rapids, MI 49546-5987

Phone

(616) 365-5775

Fax

(616) 365-5778

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Keil, D.O.NPI 1497720122

Title

Member

Phone

(616) 365-5775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Louis Keil, D.O.

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1497720122
  Medicare reassignment NPD Authorized official
• Azra Fazil-Jamal, OD

  • Optometrist
  • Grand Rapids, MI
  • NPI 1740956218
  Medicare reassignment NPD

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1194049973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BELTLINE AVE SE",
            "address_2": "STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465987",
            "telephone_number": "616-365-5775",
            "fax_number": "616-365-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E BELTLINE AVE SE",
            "address_2": "STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465987",
            "telephone_number": "616-365-5775",
            "fax_number": "616-365-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIL LASIK VISION CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-365-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101014872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Zvirbulis Keeter, MSPT
• Anna Marie Kegel, DO
• Emily Kegel
• Julie Michelle Kehdi, DO
• Debra Renfrew Kehr, LMSW
• Michael Louis Keil, D.O.
• Madeline Joy Keinath
• Keasha Keintz, PA
• Florence Keirnan, M.D.
• Chelsea Keith

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.