Individual provider Active NPI

Keith Eric Votens, O.D

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1518964709
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01156 Issued in AZ
Practice address
7552 N la Cholla Blvd
Tucson, AZ 85741-2307
Phone
(520) 744-1711
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01156 AZ Primary
Corneal and Contact Management Optometrist 152WC0802X 01156 AZ
Low Vision Rehabilitation Optometrist 152WL0500X 01156 AZ

Addresses

Primary practice location

7552 N la Cholla Blvd
Tucson, AZ 85741-2307

Mailing address

7552 N la Cholla Blvd
Tucson, AZ 85741-2307
Phone (520) 744-1711

Other identifiers 3

IdentifierTypeStateIssuer
Z144649OtherAZBCBS
AZ0902810OtherAZBCBS
WCKGLMedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110425000457 AZ Practitioner - Optometry 8224249099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

3264 N Glassford Hill Rd
Suite E
Prescott Valley, AZ 86314-1353
Phone (928) 717-5318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01156AZMDOptometrist
1156AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tami C. Friske, O.D., PC Optometrist PastSince Oct 1, 1991 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dr.keith.votens@direct.eyecare-partners.com

Organizations & group practices 5

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1518964709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-744-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-744-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTENS",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "01156",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "01156",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "AZ",
            "license": "01156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z144649",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0902810",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WCKGL",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.