Amy Marie Keller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003308 Issued in MI

Practice address

115 W Upton Ave
Reed City, MI 49677-1129

Phone

(231) 832-3133

Fax

(231) 832-1417

NPI assigned

Aug 30, 2006

Last updated

Jul 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amy M. Keller OD PC

  • Optometrist
  • Reed City, MI
  • NPI 1578688552
  Authorized official Same address or phone
• Reed City Hospital Corporation

  dba Spectrum Health Reed City Hospital Nurse Practitioners

  • General Practice Registered Nurse
  • Reed City, MI
  • NPI 1366735219
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1336259761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W. UPTON AVENUE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "49677",
            "telephone_number": "231-832-3133",
            "fax_number": "231-832-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W UPTON AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496771129",
            "telephone_number": "231-832-3133",
            "fax_number": "231-832-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0N43890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha L Jadhav, LPC,MA
• Kelly Jean Jamison, NP
• Lucille April Jarvis, FNP
• Nichole Kage, PHARM.D.
• Kaitlin Marie Karns
• Mollie Elizabeth Kidner
• Matthew Vladislav Klopman
• David J Knight, CRNA
• Karin Konrad, PA
• MHD Nawras Kordi, MD

• Optometrist in Reed City, MI
• Providers in Reed City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.