Individual provider Active NPI

Brook Lavinder Keaton, OD

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1740957570
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003125 Issued in VA
Practice address
1401 Kristina Way Unit 100
Chesapeake, VA 23320-8918
Phone
(757) 424-4177
Fax
(757) 424-0496
NPI assigned
Aug 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2664 NC
Optometrist 152W00000X 0618003125 VA Primary

Addresses

Primary practice location

1401 Kristina Way Unit 100
Chesapeake, VA 23320-8918

Mailing address

1401 Kristina Way Unit 100
Chesapeake, VA 23320-8918
Phone (757) 424-4177

Other names 1

  • Ashlyn Brook Lavinder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210917002383 NC Practitioner - Optometry 5597162537 Reassigns benefits to 1 organization
I20240517000387 VA Practitioner - Optometry 5597162537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Kristina Way
Unit 100
Chesapeake, VA 23320-8918
Phone (540) 922-3847

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as group
Quality
92.23
Improvement activities
40
Cost
59.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003125VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Eye Physicians PC CurrentSince Mar 4, 2024 Accepting new patients
Keaton Optometry Inc. Optometrist CurrentSince Oct 22, 2024 Accepting new patients
Jeffrey L. Taylor OD and Lynn C. Taylor OD, PA Optometrist CurrentSince Sep 11, 2021 Accepting new patients
Jeffrey L. Taylor OD and Lynn C. Taylor OD, PA Optometrist CurrentSince Sep 11, 2021 Accepting new patients

Locations

29 Chestnut St
Andrews, NC 28901
Phone (828) 321-2020

4295 E US 64 Alt
Murphy, NC 28906
Phone (828) 644-8950

1401 Kristina Way
Ste 100
Chesapeake, VA 23320
Phone (540) 922-3847

2016 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-1533

Interoperability endpoints

  • Direct secure messaging: bkeaton155199@schneidereyephysicians.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1740957570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 KRISTINA WAY UNIT 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208918",
            "telephone_number": "757-424-4177",
            "fax_number": "757-424-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 KRISTINA WAY UNIT 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208918",
            "telephone_number": "757-424-4177",
            "fax_number": "757-424-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "BROOK",
        "middle_name": "LAVINDER",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2664",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLYN",
            "last_name": "LAVINDER",
            "middle_name": "BROOK",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.