Jennifer Rebecca Keady, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3103T Issued in OR

Practice address

406 N Broadway Ave
Burns, OR 97720-1551

Phone

(541) 573-1575

NPI assigned

Mar 21, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.11 of 100Reported as individual

Quality

64.64

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1376502153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N BROADWAY AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201551",
            "telephone_number": "541-573-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N BROADWAY AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201551",
            "telephone_number": "541-573-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADY",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3103T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231403",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Johnson
• Kevin Stuart Johnson, DC
• Kevin Johnston, MD
• Tobias D Joyce, D.C.
• Mboni Jumaa Kangame
• Franki Elise Kesling, QMHA
• Kevin S. Johnson, D.C., PC
• Robert John Krauel, O D
• Stanley L Kull, DDS MS
• Thaddeus Shawn Labhart, CADCII, MAQMHP

• Optometrist in Burns, OR
• Providers in Burns, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.