Stephen Robert Keller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT10085T Issued in CA

Practice address

36921 Cook St
Suite 104
Palm Desert, CA 92211-6070

Phone

(760) 341-7373

Fax

(760) 341-8383

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keller Optometric, Inc.

  dba Cornerstone Optometry

  • Optometrist
  • Palm Desert, CA
  • NPI 1477694214
  Medicare reassignment Authorized official
• Morton Optometric Inc

  dba Alta Loma Optometric

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1487067609
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1770550345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36921 COOK ST",
            "address_2": "SUITE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116070",
            "telephone_number": "760-341-7373",
            "fax_number": "760-341-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36921 COOK ST",
            "address_2": "SUITE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116070",
            "telephone_number": "760-341-7373",
            "fax_number": "760-341-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10085T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0100850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kce Family Nursing, Inc.
• Kce Family Therapy Counseling Prof Inc. (Resilience Counseling)
• Daniel John Keenan, MPT
• Hiba Kehdy Lai
• Keller Optometric, Inc. (Cornerstone Optometry)
• Kelly & Garret Enterprises,Inc.
• Kelly a. Ellis (Counseling & Wellness Center)
• Karen Elizabeth Kelly, PT, DPT
• William M. Kelly, M.D.
• Alexander Kendrall

• Optometrist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.