Organization Active NPI

Keen Eyecare Consultants Inc.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1356639843
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003677A Issued in IN
Legal business name
KEEN EYECARE CONSULTANTS INC.
Practice address
6436 E. Florida Street
Suite 102
Evansville, IN 47715
Phone
(812) 200-8112
Fax
(812) 200-2823
NPI assigned
Jul 18, 2011
Reactivated
Apr 3, 2024
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Dr. Jacob F Schmitt, ODNPI 1871880815
Title
President
Phone
(812) 200-8112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003677A IN Primary

Addresses

Primary practice location

6436 E. Florida Street
Suite 102
Evansville, IN 47715

Mailing address

PO Box 8115
Evansville, IN 47716-8115
Phone (812) 200-8112

Other practice location 1

800 N Green River Rd
Evansville, IN 47715-2471
Phone (812) 477-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110725000571 IN Part B Supplier - Clinic/Group Practice 0749458453 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

499 N Green River Rd
Evansville, IN 47715
Phone (812) 479-7800

499 N Green River Rd
Ste B
Evansville, IN 47715

6434 E Florida St Ste 102
Evansville, IN 47715

6436 E Florida St
Ste 102
Evansville, IN 47715
Phone (812) 200-8112

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1356639843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8115",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477168115",
            "telephone_number": "812-200-8112",
            "fax_number": "812-200-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 E. FLORIDA STREET",
            "address_2": "SUITE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "812-200-8112",
            "fax_number": "812-200-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Green River Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152471",
            "country_code": "US",
            "telephone_number": "812-477-4356",
            "fax_number": "812-477-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEEN EYECARE CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-04-03",
        "certification_date": "2023-03-17",
        "deactivation_date": "2024-03-18",
        "reactivation_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-200-8112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003677A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.