Jeremy D Keith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SD702 Issued in SD

Practice address

2325 W 57TH St
Sioux Falls, SD 57108-5046

Phone

(605) 275-6100

Fax

(605) 275-6105

NPI assigned

Jul 12, 2010

Last updated

Jan 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sioux Falls Family Vision PCGroup PAC ID 3577461946, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sioux Falls Family Vision PC

  • Optometrist
  • Sioux Falls, SD
  • NPI 1831259191
  Medicare reassignment Care Compare group NPD
• J a K Enterprises Inc

  dba Bard Optical

  • Durable Medical Equipment & Medical Supplies
  • Decatur, IL
  • NPI 1609815992

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1578875167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-275-6100",
            "fax_number": "605-275-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-275-6100",
            "fax_number": "605-275-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JEREMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "SD702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010371",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarajo Kegler, LCSW LAC
• Keiser Chiropractic Prof., LLC
• Amber Rae Keiser
• Kimberly J Keiser, MA, LPC
• Courtney A. Keith, M.D.
• Meredith Michelle Keith
• Suzanne Marie Keizer, PSY.D., MSCP
• Davette Keller
• Elly Claire Keller
• Lyndsay Marie Keller, RN

• Optometrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.

Verify at the official NPI Registry.