Individual provider Active NPI

Barbara M Keys, OD

  • Optometrist
  • Fairbanks, AK
National Provider Identifier
1235298134
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
A160 Issued in AK
Practice address
570 Riverstone Way
Ste 3
Fairbanks, AK 99709
Phone
(907) 479-4700
Fax
(907) 457-5596
NPI assigned
Dec 6, 2006
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X A160 AK Primary

Addresses

Primary practice location

570 Riverstone Way
Ste 3
Fairbanks, AK 99709

Mailing address

4169 Geist Rd
Fairbanks, AK 99709-3420
Phone (907) 479-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000435 AK Practitioner - Optometry 8628083490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Valley Vision Center, IncGroup PAC ID 9436234994, 4 clinicians

Practice addresses (Care Compare)

4169 Geist Rd
Fairbanks, AK 99709-3420
Phone (907) 457-8227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A160AKMDOptometrist
1116031KYMDPsychiatric/Mental Health Registered Nurse
160AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Vision Center, Inc Optometrist CurrentSince Mar 19, 2007 Accepting new patients

Locations

4169 Geist Rd
Fairbanks, AK 99709
Phone (907) 457-8227

570 Riverstone Way
Ste 3
Fairbanks, AK 99709
Phone (907) 458-2655

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1235298134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 GEIST RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093420",
            "telephone_number": "907-479-4700",
            "fax_number": "907-457-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 RIVERSTONE WAY",
            "address_2": "STE 3",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99709",
            "telephone_number": "907-479-4700",
            "fax_number": "907-457-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "BARBARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "A160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.