Active NPI
James S Keller, OD
- Optometrist
- Saint Louis Park, MN
National Provider Identifier
1356310593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2044
- Practice address
- 5100 Gamble Dr
Mail Stop 31200a Ste 100
Saint Louis Park, MN 55416-1582 - Phone
- (952) 593-8777
- Fax
- (952) 595-6408
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2044 | MN | Primary |
Addresses
Primary practice location
5100 Gamble Dr
Mail Stop 31200a Ste 100
Saint Louis Park, MN 55416-1582
Mailing address
8100 34TH Ave S
21110Q
Bloomington, MN 55425-1672
Phone (952) 883-7961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356310593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 34TH AVE S",
"address_2": "21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251672",
"telephone_number": "952-883-7961",
"fax_number": "952-883-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 GAMBLE DR",
"address_2": "MAIL STOP 31200A STE 100",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554161582",
"telephone_number": "952-593-8777",
"fax_number": "952-595-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JAMES",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.