Individual provider Active NPI

Ronald W Keeling, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1285620880
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02755 Issued in MO
Practice address
1441 E Sunshine St
Springfield, MO 65804-1211
Phone
(417) 886-2020
Fax
(417) 886-9875
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 T02755 MO Primary

Addresses

Primary practice location

1441 E Sunshine St
Springfield, MO 65804-1211

Mailing address

1441 E Sunshine St
Springfield, MO 65804-1211
Phone (417) 886-2020

Other identifiers 1

IdentifierTypeStateIssuer
0435010001OtherMODMERC REGION D

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100929000251 MO Practitioner - Optometry 1153445788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larimore Baker Brown and Associates IncGroup PAC ID 7618091240, 3 clinicians

Practice addresses (Care Compare)

1441 E Sunshine St
Springfield, MO 65804-1211
Phone (417) 886-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T02755MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Larimore, Baker, Brown, & Associates, Inc Optometrist CurrentSince Dec 31, 1991 Accepting new patients
William R Chism OD PC Optometrist Past Accepting new patients
Ozark Eye Clinic, LLC Optometrist PastSince Jan 1, 2010 Accepting new patients

Locations

1441 E Sunshine St
Springfield, MO 65804
Phone (417) 866-2020

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1285620880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041211",
            "telephone_number": "417-886-2020",
            "fax_number": "417-886-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041211",
            "telephone_number": "417-886-2020",
            "fax_number": "417-886-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELING",
        "first_name": "RONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION D",
            "identifier": "0435010001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.