Organization Active NPI

Richard P Keville OD & Associates PA

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1316154750
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002064 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
24537OtherFLSPECTERA BRADENTON
53759OtherFLDAVIS PALMETTO
26816OtherFLMEDICAL EYE SERVICES
47866OtherFLDAVIS BRADENTON
45306OtherFLSPECTERA PALMETTO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.