Individual provider Active NPI

Meredith Fern Keeler, OD

  • Optometrist
  • Fargo, ND
National Provider Identifier
1336716125
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
783 Issued in ND
Practice address
3171 44TH St S Unit 101
Fargo, ND 58104-8521
Phone
(701) 235-0561
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 783 ND Primary

Addresses

Primary practice location

3171 44TH St S Unit 101
Fargo, ND 58104-8521

Mailing address

3171 44TH St S Unit 101
Fargo, ND 58104-8521
Phone (701) 235-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20210810002423 ND Practitioner - Optometry 4284038456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Fargo PLLCGroup PAC ID 5890045785, 10 clinicians

Practice addresses (Care Compare)

3171 44TH St S
Unit 101
Fargo, ND 58104-8521
Phone (701) 235-0561

Merit-based Incentive Payment System (MIPS)

Final score
61.92 of 100Reported as group
Quality
72.3
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3729MNMDRegistered Dietitian
783NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Fargo, PLLC Optometrist CurrentSince Aug 14, 2021 Accepting new patients

Locations

3171 44th St S
Unit 101
Fargo, ND 58104
Phone (800) 437-4387

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1336716125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S UNIT 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048521",
            "telephone_number": "701-235-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S UNIT 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048521",
            "telephone_number": "701-235-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "MEREDITH",
        "middle_name": "FERN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.