Individual provider Active NPI

Stephanie L Day-Keller, O.D.

  • Optometrist
  • Vincennes, IN
National Provider Identifier
1558397307
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002772A Issued in IN
Practice address
2020 Clearview Dr.
Vincennes, IN 47591
Phone
(812) 882-9600
Fax
(812) 882-2944
NPI assigned
Jun 23, 2006
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002772A IN Primary

Addresses

Primary practice location

2020 Clearview Dr.
Vincennes, IN 47591

Mailing address

7653 S Petersburg Rd
Monroe City, IN 47557-7154
Phone (812) 291-0507

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000925 IN Practitioner - Optometry 3971792417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Image Eye Center LLCGroup PAC ID 6507165065, 3 clinicians

Practice addresses (Care Compare)

1209 S State Rd
Suite 57
Washington, IN 47501-4367
Phone (812) 254-0990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Image Eye Center LLC Optometrist CurrentSince Feb 8, 2016 Accepting new patients
Amedco Indiana LLC Past Accepting new patients

Locations

120 Main St
Vincennes, IN 47591
Phone (812) 255-0559

1209 S State Road 57
Washington, IN 47501
Phone (812) 254-0990

Organizations & group practices 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1558397307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7653 S PETERSBURG RD",
            "city": "MONROE CITY",
            "state": "IN",
            "postal_code": "475577154",
            "telephone_number": "812-291-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CLEARVIEW DR.",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "47591",
            "telephone_number": "812-882-9600",
            "fax_number": "812-882-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY-KELLER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002772A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.