Individual provider Active NPI

Keshav Bhat, O.D.

  • Optometrist
  • Matthews, NC
National Provider Identifier
1336134485
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1843 Issued in NC
Practice address
1013 Chestnut LN
Suite 210
Matthews, NC 28104-8531
Phone
(704) 821-5009
Fax
(866) 334-0626
NPI assigned
Sep 14, 2005
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1843 NC Primary

Addresses

Primary practice location

1013 Chestnut LN
Suite 210
Matthews, NC 28104-8531

Mailing address

1013 Chestnut LN
Suite 210
Matthews, NC 28104-8531
Phone (704) 821-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040401000091 NC Practitioner - Optometry 1759373509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1013 Chestnut LN
Suite 210
Matthews, NC 28104-8567
Phone (704) 821-5009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1843NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Village Eyecare OD PA Optometrist CurrentSince May 1, 2008 Accepting new patients

Locations

1013 Chestnut Ln
Ste 210
Matthews, NC 28104
Phone (704) 821-5009

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1336134485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHESTNUT LN",
            "address_2": "SUITE 210",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048531",
            "telephone_number": "704-821-5009",
            "fax_number": "866-334-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CHESTNUT LN",
            "address_2": "SUITE 210",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048531",
            "telephone_number": "704-821-5009",
            "fax_number": "866-334-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "KESHAV",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.