Active NPI
Jordan Frederick Keith, O.D.
- Optometrist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1589
- Practice address
- 3606 N 156TH St
Omaha, NE 68116-2158 - Phone
- (402) 205-0754
- NPI assigned
- Nov 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3153 | MN | |
| Optometrist | 152W00000X | 1589 | NE | Primary |
| Optometrist | 152W00000X | 116516 | IA |
Addresses
Primary practice location
3606 N 156TH St
Omaha, NE 68116-2158
Mailing address
3606 N 156TH St Ste 105
Omaha, NE 68116-2163
Phone (402) 205-0754
Other practice location 1
2514 W Broadway
Council Bluffs, IA 51501-3509
Phone (712) 322-3097
Other practice location 2
120 Olson Dr Ste 107
Papillion, NE 68046-2961
Phone (402) 504-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Olson Dr
Suite 107
Papillion, NE 68046-2961
Phone (402) 897-6375
2514 W Broadway
Council Bluffs, IA 51501-3509
Phone (712) 322-3097
3606 N 156TH St
Suite 105
Omaha, NE 68116-2163
Phone (402) 205-0754
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3153 | MN | MD | Mental Health Counselor |
| 116516 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Specialists of Omaha LLC | Optometrist | Current | Accepting new patients |
| Vision Specialists of Council Bluffs LLC | Optometrist | Current | Accepting new patients |
Locations
2514 W Broadway
Council Bluffs, IA 51501
Phone (712) 227-6340
3606 N 156th St
Ste 105
Omaha, NE 68116
Phone (402) 205-0754
3606 N 156th St
Ste 104
Omaha, NE 68116
Phone (402) 205-0754
3606 N 156th St
Omaha, NE 68116
Phone (402) 205-0754
120 Olson Dr
Ste 107
Papillion, NE 68046
Phone (402) 504-4257
Organizations & group practices 3
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.
-
- Optometrist
- Omaha, NE
- NPI 1912564212
-
- Optometrist
- Council Bluffs, IA
- NPI 1831377084
-
- Optometrist
- Papillion, NE
- NPI 1659859734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1861646937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 N 156TH ST STE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162163",
"telephone_number": "402-205-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 N 156TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162158",
"telephone_number": "402-205-0754"
}
],
"practiceLocations": [
{
"address_1": "2514 W Broadway",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515013509",
"country_code": "US",
"telephone_number": "712-322-3097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Olson Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Papillion",
"state": "NE",
"postal_code": "680462961",
"country_code": "US",
"telephone_number": "402-504-4257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEITH",
"first_name": "JORDAN",
"middle_name": "FREDERICK",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-15",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3153",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1589",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "116516",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.