Keller Eye Care, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1359 Issued in SC

Legal business name

KELLER EYE CARE, L.L.C.

Practice address

1066 Boiling Springs Rd
Spartanburg, SC 29303-2247

Phone

(864) 582-0286

Fax

(864) 582-0279

NPI assigned

Dec 6, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly J Sharpton

Title

Office Administrator

Phone

(864) 582-0286

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jarrod Ralph Keller, OD

  • Optometrist
  • Spartanburg, SC
  • NPI 1306889548
  Medicare reassignment NPD

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1629251202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032247",
            "telephone_number": "864-582-0286",
            "fax_number": "864-582-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032247",
            "telephone_number": "864-582-0286",
            "fax_number": "864-582-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER EYE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "SHARPTON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-582-0286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13590",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Keith, DPT
• John Edmond Keith Jr., MD
• Thomas Allen Keith Jr., R.PH
• Tracy Kelecava, NP
• Elizabeth Kellam, P.A.
• Darwin W Keller, M.D.
• Jarrod Ralph Keller, OD
• Valerie Keller
• Natalie Nicole Kellett
• Amanda Kelley, CRNA

• Optometrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.