Tara K Keesey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0004011 Issued in CO

Practice address

4344 Woodlands Blvd Ste 100
Castle Rock, CO 80104-2801

Phone

(303) 688-3636

Fax

(303) 688-1036

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

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 and National Provider Directory roles.

• Benjamin D. Sturdy O.D., P.C.

  • Optometrist
  • Castle Rock, CO
  • NPI 1326799214
  Medicare reassignment NPD
• Benjamin D. Sturdy O.D., P.C.

  • Optometrist
  • Centennial, CO
  • NPI 1598426249
  NPD
• Benjamin D. Sturdy O.D., P.C.

  • Optometrist
  • Aurora, CO
  • NPI 1912702879
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1760415996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-688-3636",
            "fax_number": "303-688-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-688-3636",
            "fax_number": "303-688-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESEY",
        "first_name": "TARA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02188",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009288",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225540",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23999",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KC Medical PC
• Mandip KC, MD
• Kaylin Louise Keenan, OTR/L
• Kimberly Jo Keene, D.C.
• Stephanie Renee Keene, PA-C
• Quinn Reiley Keleher, RD
• Bart R Keller, PA-C
• Courtney L Kelley, MOTR
• Adele Kelso, LCSW
• Alexis Amber Kemp, NP

• Optometrist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.