Individual provider Active NPI

Michael J Keefer, O.D.

  • Optometrist
  • Belleville, KS
National Provider Identifier
1508905126
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1283-3 Issued in KS
Practice address
2204 M St
Belleville, KS 66935-2244
Phone
(785) 527-2965
Fax
(785) 527-2709
NPI assigned
Feb 6, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1283-3 KS Primary

Addresses

Primary practice location

2204 M St
Belleville, KS 66935-2244

Mailing address

1188 160 Rd
Belleville, KS 66935-8075
Phone (785) 527-2965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040313000454 KS Practitioner - Optometry 3072402312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KS Family Optometry LLCGroup PAC ID 5496710394, 3 clinicians

Practice addresses (Care Compare)

3000 E 9TH Ave
Winfield, KS 67156-3439
Phone (620) 221-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1283KSMDClinical Social Worker
1283-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gracemed Health Clinic, Inc CurrentSince Jun 8, 2020 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Jun 8, 2020 Accepting new patients
KS Family Optometry LLC Optometrist CurrentSince Jan 17, 2025 Accepting new patients
Michael J Keefer O.D. P.a. Optometrist CurrentSince Jan 5, 1990 Accepting new patients
Blake J. Hoffman, OD, PA Optometrist Past Accepting new patients
Hiesterman Family Eye Care, LLC Optometrist Past Accepting new patients

Locations

215 S Andover Rd
Andover, KS 67002
Phone (316) 361-1020

2204 M St
Belleville, KS 66935
Phone (785) 527-2965

1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455

1150 N Broadway Ave
Wichita, KS 67214

3417 S Meridian Ave
Wichita, KS 67217
Phone (316) 866-2078

3000 E 9th Ave
Winfield, KS 67156
Phone (316) 221-9500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508905126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 160 RD",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669358075",
            "telephone_number": "785-527-2965",
            "fax_number": "785-527-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 M ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352244",
            "telephone_number": "785-527-2965",
            "fax_number": "785-527-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1283-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, KS

Sources for this page

Verify at the official NPI Registry.