Thomas Scott Keene, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1702 Issued in MN

Practice address

3015 HW 29 South
Suite 4010 Midwest Vision Center
Alexandria, MN 56308

Phone

(320) 762-8104

Fax

(320) 762-1147

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649389743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HW 29 SOUTH",
            "address_2": "SUITE 4010 MIDWEST VISION CENTER",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-8104",
            "fax_number": "320-762-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HW 29 SOUTH",
            "address_2": "SUITE 4010 MIDWEST VISION CENTER",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-8104",
            "fax_number": "320-762-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1702",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202054",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "283R3KE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6844823100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Kamholz, RN
• Hannah Katnis, LPCC, LADC
• Jenna L Kavanagh, LADC
• Lourdes Mae Kavanagh, MSW, LICSW
• Terry Jo Kay, PA-C
• Patrice L Keipe, HYGIENIST
• Ashley Kellen
• Terence James Kennedy, MD
• Nicole Lynn Ketelsen, PHARMD
• Christine Marie Kieffer, APRN, FNP-C

• Optometrist in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.