Active NPI
Forrest Abram Keating, OD
- Optometrist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004268A
- Practice address
- 431 W Coliseum Blvd
Fort Wayne, IN 46805-1010 - Phone
- (260) 484-8516
- Fax
- (260) 484-8521
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 18004268A | IN | Primary |
Addresses
Primary practice location
431 W Coliseum Blvd
Fort Wayne, IN 46805-1010
Mailing address
PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550
Other practice location 1
9426 Lima Rd Ste C
Fort Wayne, IN 46818-8681
Phone (260) 489-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
431 W Coliseum
Fort Wayne, IN 46805-1010
Phone (260) 484-8516
Merit-based Incentive Payment System (MIPS)
- Final score
- 55.99 of 100
- Quality
- 31.67
- Improvement activities
- 40
- Cost
- 78.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Eye Consultants, P.C. | Optometrist | Current | Accepting new patients |
| Midwest Eye Consultants, PC | Optometrist | Current | Accepting new patients |
| Midwest Eye Consultants, P.C. | Current | Accepting new patients | |
| Midwest Eye Consultants P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
Locations
750 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 925-3116
1601 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 744-2273
9426 Lima Rd
Ste C
Fort Wayne, IN 46818
Phone (219) 489-5544
2874 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 490-1631
2001 Reed Rd
Fort Wayne, IN 46815
Phone (260) 424-5163
431 W Coliseum Blvd
Fort Wayne, IN 46805
Phone (260) 484-8516
825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222
301 J St
Laporte, IN 46350
Phone (219) 326-9569
301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923
Organizations & group practices 10
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.
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- Ophthalmology Physician
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-
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- NPI 1578526182
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- Optometrist
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- NPI 1548132715
-
- Optometrist
- Crown Point, IN
- NPI 1134641202
-
- Optometrist
- Greensburg, IN
- NPI 1013480482
-
- Optometrist
- Chesterton, IN
- NPI 1023066784
-
- Optometrist
- Fort Wayne, IN
- NPI 1386607901
-
- Optometrist
- Auburn, IN
- NPI 1396914271
-
- Optometrist
- Fort Wayne, IN
- NPI 1538558556
-
- Optometrist
- Fort Wayne, IN
- NPI 1649654526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1417525254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 549",
"city": "WABASH",
"state": "IN",
"postal_code": "469920549",
"telephone_number": "260-569-9550",
"fax_number": "260-569-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W COLISEUM BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051010",
"telephone_number": "260-484-8516",
"fax_number": "260-484-8521"
}
],
"practiceLocations": [
{
"address_1": "9426 Lima Rd Ste C",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468188681",
"country_code": "US",
"telephone_number": "260-489-5544",
"fax_number": "260-490-7725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEATING",
"first_name": "FORREST",
"middle_name": "ABRAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004268A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.