Leon Keeble III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4668TG Issued in TX

Practice address

101 E Morrison Rd
Suite C
Brownsville, TX 78526-3382

Phone

(956) 544-5735

Fax

(956) 504-6798

NPI assigned

Dec 7, 2006

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1356400162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MORRISON RD",
            "address_2": "SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263382",
            "telephone_number": "956-544-5735",
            "fax_number": "956-504-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MORRISON RD",
            "address_2": "SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263382",
            "telephone_number": "956-544-5735",
            "fax_number": "956-504-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEBLE",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4668TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019341901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS NUMBER",
            "identifier": "B0137508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kallos Wellness Medspa PLLC
• Joseph Kahura Kaniaru, PHARMD
• Ahmad Karkoutly, M.D.
• John Kasavich
• Kazim Medical Associates PLLC
• Cristina Marie Keenan, FNP-C
• Yujian Kathleen Kennedy, DPT
• Ahmad Khalil, PHARM.D.
• Ali Sebastian Kianinejad, PHARMD
• Connie Kiefer

• Optometrist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.