Active NPI
Richard P Keville OD & Associates PA
- Optometrist
- Bradenton, FL
National Provider Identifier
1316154750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC002064
- Legal business name
- RICHARD P KEVILLE OD & ASSOCIATES PA
- Practice address
- 2911 53Rd Ave E
Bradenton, FL 34203-4312 - Phone
- (941) 758-5960
- NPI assigned
- May 16, 2007
- Last updated
- Sep 9, 2008
- 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. Richard P. Keville, O.D.
- Title
- President
- Phone
- (941) 756-4108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC002064 | FL | Primary |
Addresses
Primary practice location
2911 53Rd Ave E
Bradenton, FL 34203-4312
Mailing address
2901 50TH PL E
Bradenton, FL 34203-3824
Phone (941) 756-4108
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24537 | Other | FL | SPECTERA BRADENTON |
| 53759 | Other | FL | DAVIS PALMETTO |
| 26816 | Other | FL | MEDICAL EYE SERVICES |
| 47866 | Other | FL | DAVIS BRADENTON |
| 45306 | Other | FL | SPECTERA PALMETTO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1316154750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 50TH PL E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033824",
"telephone_number": "941-756-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 53RD AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034312",
"telephone_number": "941-758-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD P KEVILLE OD & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "KEVILLE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-756-4108",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC002064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA BRADENTON",
"identifier": "24537",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS PALMETTO",
"identifier": "53759",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "26816",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS BRADENTON",
"identifier": "47866",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA PALMETTO",
"identifier": "45306",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.