Active NPI
Keaton Optometry Inc.
Doing business as Dominion Eye Care Chesapeake
- Optometrist
- Chesapeake, VA
National Provider Identifier
1194541110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KEATON OPTOMETRY INC.
- Doing business as
- Dominion Eye Care Chesapeake
- Practice address
- 1401 Kristina Way Unit 100
Chesapeake, VA 23320-8918 - Phone
- (757) 424-4177
- NPI assigned
- Nov 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brook Lavinder Keaton, OD
- Title
- Optometrist/Business Owner
- Phone
- (540) 922-3847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1401 Kristina Way Unit 100
Chesapeake, VA 23320-8918
Mailing address
1401 Kristina Way Unit 100
Chesapeake, VA 23320-8918
Phone (757) 424-4177
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740957570 | Other | VA | BROOK KEATON OPTOMETRIC NPI |
| 0618003125 | Other | VA | OPTOMETRIC LICENSE |
| 2664 | Other | NC | OPTOMETRIC LICENSE |
Other names 1
- Dominion Eye Care Chesapeake
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 Kristina Way
Ste 100
Chesapeake, VA 23320
Phone (540) 922-3847
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chesapeake, VA
- NPI 1740957570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1194541110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 KRISTINA WAY UNIT 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208918",
"telephone_number": "757-424-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 KRISTINA WAY UNIT 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208918",
"telephone_number": "757-424-4177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEATON OPTOMETRY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-24",
"status": "A",
"authorized_official_last_name": "KEATON",
"authorized_official_first_name": "BROOK",
"authorized_official_middle_name": "LAVINDER",
"authorized_official_title_or_position": "OPTOMETRIST/BUSINESS OWNER",
"authorized_official_telephone_number": "540-922-3847",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BROOK KEATON OPTOMETRIC NPI",
"identifier": "1740957570",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIC LICENSE",
"identifier": "0618003125",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIC LICENSE",
"identifier": "2664",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dominion Eye Care Chesapeake",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.