Keylon Eyecare, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

503 Issued in TN

Legal business name

KEYLON EYECARE, PC

Practice address

902 W Madison Ave
Athens, TN 37303-3432

Phone

(423) 745-8882

Fax

(423) 744-8428

NPI assigned

Mar 26, 2007

Last updated

Dec 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles David Keylon, OD

Title

President

Phone

(423) 745-8882

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Stephen Paul Clark, O.D.

  • Optometrist
  • Athens, TN
  • NPI 1720004591
  Medicare reassignment Care Compare group NPD
• Travis S. McDonald, O.D.

  • Optometrist
  • Athens, TN
  • NPI 1932125796
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1457478158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 826",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373710826",
            "telephone_number": "423-745-8882",
            "fax_number": "423-744-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033432",
            "telephone_number": "423-745-8882",
            "fax_number": "423-744-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYLON EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "KEYLON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-745-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724013",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Raye Keesee-Bos, OT/L
• Benjamin Wilson Kendrick, PA-C
• Johnny Dale Kennedy, DDS
• Hannah Louisa Kesler, PT, DPT
• Robin Kessler, OT/L
• Ronnie Charles Keylon, PHARMD
• Kidzcare Pediatrics, PLLC (Kidzcare Pediatrics)
• King Audiology, LLC
• Alan Earl King, PA-C.
• Jennifer Ruth King, AU.D.

• Optometrist in Athens, TN
• Providers in Athens, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.