Individual provider Active NPI

Jennifer Keiser, OD

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1275789208
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008022655 Issued in MO
Practice address
1 University Blvd
153 Marillac Hall
Saint Louis, MO 63121-4400
Phone
(314) 516-5131
Fax
(314) 516-5507
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2008022655 MO Primary

Addresses

Primary practice location

1 University Blvd
153 Marillac Hall
Saint Louis, MO 63121-4400

Mailing address

1 University Blvd
115 Marillac Hall
Saint Louis, MO 63121-4400
Phone (314) 516-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150106002407 AZ Practitioner - Optometry 3971671710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seville Eye Center LLCGroup PAC ID 7214030527, 4 clinicians
Chandler Eyecare LLCGroup PAC ID 9234021593, 4 clinicians

Practice addresses (Care Compare)

3336 E Chandler Heights Rd
Gilbert, AZ 85298-4259
Phone (480) 279-3937

916 W Chandler Blvd
Suite 1
Chandler, AZ 85225-2514
Phone (480) 963-7172

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008022655MOMDOptometrist
2023AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Eyecare LLC Optometrist CurrentSince Feb 24, 2018 Accepting new patients
Seville Eye Center LLC Optometrist CurrentSince May 1, 2018 Accepting new patients
Curators of the University of Missouri Past Accepting new patients

Locations

916 W Chandler Blvd
Ste 1
Chandler, AZ 85225
Phone (480) 963-7172

3336 E Chandler Heights Rd
Ste A101
Gilbert, AZ 85298
Phone (480) 279-3937

3336 E Chandler Heights Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 412-5900

Networks

  • UT PPO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1275789208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "address_2": "115 MARILLAC HALL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214400",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "address_2": "153 MARILLAC HALL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214400",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008022655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.