Bruce J Keenan OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRUCE J KEENAN OD PC

Practice address

1014 Amherst St
Suite 204
Winchester, VA 22601

Phone

(540) 662-0522

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Bruce Keenan, ODNPI 1932185022

Title

Owner

Phone

(540) 662-0522

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce J Keenan Sr., OD

  • Optometrist
  • Winchester, VA
  • NPI 1932185022
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1841453198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 AMHERST ST",
            "address_2": "SUITE 204",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 AMHERST ST",
            "address_2": "SUITE 204",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J KEENAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-662-0522",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009234527",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Dixon Brown, MD
• Lileith A Brown, COTA
• Stuart E Brown, MD
• Tammy Lee Brown, RPH
• Zoe Belle Brown, MD
• Kristen Keturah Bruce, PA-C
• William A Bruening, PA-C
• Matthew Vernon Bruffey, PSY.D.
• Erich William Bruhn, MD
• Eileen J. Brumbaugh, NNP

• Optometrist in Winchester, VA
• Providers in Winchester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.