Erin Keeney Dyson, O.D.

Individual provider Active NPI Optometrist · Orange, TX

NPI 1598014698 · NPPES record last updated Nov 6, 2020

Key facts

NPI
1598014698
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
8057 (TX)
Practice address
2401 N 16TH St
Orange, TX 77630-2331
Phone
(409) 886-2292
Fax
(409) 883-8012
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8057TXMDChiropractor
8057TTXMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8057T TX
Optometrist 152W00000X 8057 TX Yes

Addresses

Primary practice location

2401 N 16TH St
Orange, TX 77630-2331

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names

  • Erin Lauren Keeney Other name

Other providers in Orange, TX

All providers in Orange, TX · Optometrist in Texas

Sources for this page

Verify at the official NPI Registry.