Individual provider Active NPI

Joseph Keaney, O.D.

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1366757015
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5955 Issued in OH
Practice address
6204 Brookpark Rd
Cleveland, OH 44129-1218
Phone
(216) 351-6270
NPI assigned
Aug 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5955 OH Primary

Addresses

Primary practice location

6204 Brookpark Rd
Cleveland, OH 44129-1218

Mailing address

6204 Brookpark Rd
Cleveland, OH 44129-1218
Phone (216) 351-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110303000406 OH Practitioner - Optometry 3870775414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5955OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group Optometrist Current Accepting new patients
Fries Eye Care, LLC Optometrist Current Accepting new patients
Optometric Management Group LLC Optometrist CurrentSince Oct 14, 2019 Accepting new patients
Fries Eye Care, LLC Optometrist CurrentSince Oct 27, 2022 Accepting new patients

Locations

5823 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8811

3039 Madison Rd
Cincinnati, OH 45209
Phone (513) 651-4005

1500 Polaris Pkwy
Columbus, OH 43240
Phone (614) 885-3937

1450 Olentangy River Rd
Columbus, OH 43212
Phone (380) 219-4306

5180 E Main St
Columbus, OH 43213
Phone (614) 866-9002

2440 Wilmington Pike
Dayton, OH 45419
Phone (614) 793-0700

813 Troy St
Dayton, OH 45404
Phone (937) 228-2020

951 E Johnstown Rd
Gahanna, OH 43230
Phone (614) 476-2015

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

40 Southmoor Cir NE
Kettering, OH 45429
Phone (937) 228-2020

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

315 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-0339

142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Unit C
Powell, OH 43065

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

9711 Sawmill Pkwy
Unit C
Powell, OH 43065
Phone (614) 793-0700

22 Remick Blvd
Springboro, OH 45066
Phone (937) 748-2720

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

1861 Towne Park Dr
Troy, OH 45373
Phone (937) 339-7956

226 W Court St
Washington Court House, OH 43160
Phone (740) 335-2020

1050 Washington Ave
Washington Court House, OH 43160
Phone (740) 335-1025

Organizations & group practices 4

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1366757015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441291218",
            "telephone_number": "216-351-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441291218",
            "telephone_number": "216-351-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANEY",
        "first_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.