Darin Wayne Keitel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002587B Issued in IN

Practice address

1900 W 4TH St
Mount Vernon, IN 47620-9407

Phone

(812) 838-5526

Fax

(812) 838-6757

NPI assigned

Dec 19, 2005

Last updated

Jun 5, 2012By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keitel Eye Care, P.C.

  • Optometrist
  • Mount Vernon, IN
  • NPI 1700058609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1790761062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209407",
            "telephone_number": "812-838-5526",
            "fax_number": "812-838-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209407",
            "telephone_number": "812-838-5526",
            "fax_number": "812-838-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITEL",
        "first_name": "DARIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002587B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N100337040A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Health and Rehabilitation Centers (Mount Vernon Nursing & Rehabilitation Center)
• Kimberly Ann Jackson, N.P.
• James a Rice DO LLC
• David J Julian, MD
• Keitel Eye Care, P.C.
• Erica Klueh, PTA
• Kathryn M Lee-Kalsch, M.D.
• Joseph Matthew Lee, M.D.
• Matthew R Lee, MD
• Shannon Brittany Lee, MSN, FNP

• Optometrist in Mount Vernon, IN
• Providers in Mount Vernon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.