Individual provider Active NPI

Patrick Joseph Keelan, OD

  • Optometrist
  • Brick, NJ
National Provider Identifier
1811037906
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5307 Issued in NJ
Practice address
149 Van Zile Rd
Keelan Eyecare
Brick, NJ 08724-3158
Phone
(732) 458-4800
Fax
(732) 458-4877
NPI assigned
Feb 7, 2007
Last updated
Aug 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5307 NJ Primary

Addresses

Primary practice location

149 Van Zile Rd
Keelan Eyecare
Brick, NJ 08724-3158

Mailing address

466 Brentwood Ave
Toms River, NJ 08755-2008
Phone (732) 363-3487

Other identifiers 1

IdentifierTypeStateIssuer
223599367OtherNJTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20090604000056 NJ Practitioner - Optometry 0446300966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Family Eyecare Inc.Group PAC ID 9032264122, 2 clinicians

Practice addresses (Care Compare)

3107 Bridge Ave
Point Pleasant, NJ 08742-3455
Phone (732) 690-3472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5307NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Family Eyecare Inc. Optometrist CurrentSince Jul 20, 2009 Accepting new patients

Locations

149 Van Zile Rd
Brick, NJ 08724
Phone (732) 458-4800

3107 Bridge Ave
Point Pleasant Boro, NJ 08742
Phone (732) 690-3472

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1811037906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 BRENTWOOD AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552008",
            "telephone_number": "732-363-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 VAN ZILE RD",
            "address_2": "KEELAN EYECARE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243158",
            "telephone_number": "732-458-4800",
            "fax_number": "732-458-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELAN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223599367",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.