Organization Active NPI

Keats Family Vision PA

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1861412280
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 003546 Issued in FL
Legal business name
KEATS FAMILY VISION PA
Doing business as
Northwood Vision
Practice address
2518 N McMullen Booth Rd Ste C
Clearwater, FL 33761-4156
Phone
(727) 725-5558
Fax
(727) 724-3966
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Christopher K Keats, O.D.NPI 1992731772
Title
President
Phone
(727) 725-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 003546 FL Primary

Addresses

Primary practice location

2518 N McMullen Booth Rd Ste C
Clearwater, FL 33761-4156

Mailing address

2518 N McMullen Booth Rd Ste C
Clearwater, FL 33761-4156
Phone (727) 725-5558

Other names 1

  • Northwood Vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000116 FL Part B Supplier - Clinic/Group Practice 8426061813 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Tax ID family
Keats Family Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12991 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-8832

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1861412280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 N MCMULLEN BOOTH RD STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614156",
            "telephone_number": "727-725-5558",
            "fax_number": "727-724-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N MCMULLEN BOOTH RD STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614156",
            "telephone_number": "727-725-5558",
            "fax_number": "727-724-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEATS FAMILY VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "KEATS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-725-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 003546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.