Bonnie Elizabeth Keaton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1025 Issued in MS

Practice address

908 Sixth Ave
Picayune, MS 39466-3802

Phone

(601) 798-4182

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

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 2

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poplarville Eye Clinic LLCGroup PAC ID 6002130788, 2 clinicians

Picayune Eye ClinicGroup PAC ID 1456470848, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.83 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.46

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bonniek@picayuneeyeclinic.emadirect.md
• Direct secure messaging: bkeaton@eyesurgla.intellechartdirect.net

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.

• Picayune Eye Clinic

  • Optometrist
  • Picayune, MS
  • NPI 1922067016

  MS, Optometrist

  Medicare reassignment Care Compare group NPD
• Poplarville Eye Clinic, LLC

  • Optometrist
  • Poplarville, MS
  • NPI 1962800011

  MS, Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Associates LLC

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1124071717

  LA

  Medicare reassignment NPD
• Germer Haley LLC

  • Ophthalmology Physician
  • Bogalusa, LA
  • NPI 1104014216
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1306435722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 EUNICE ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704278419",
            "telephone_number": "985-750-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SIXTH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663802",
            "telephone_number": "601-798-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrance A Johnson, MD
• Laura Jones, M.ED. BCBA LBA
• Tara Jo Jones, DC
• Katherine Henry Justo, MD
• Kanif Group LLC
• Milton Michael Keen, PHARM.D.
• Christie Kellar, FNP-C
• Jordan Kayelin Kellar, IBCLC
• William J. Kenny, CP
• Stacy Jane Keyes, M.S.,SLP

• All providers in Picayune, MS
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.