Individual provider Active NPI

Shane Keast, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1871636621
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3857 Issued in FL
Practice address
3817 E Colonial Dr
Orlando, FL 32803-5207
Phone
(407) 897-3582
Fax
(407) 897-3621
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3857 FL Primary

Addresses

Primary practice location

3817 E Colonial Dr
Orlando, FL 32803-5207

Mailing address

1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Phone (407) 897-3582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051210000026 FL Practitioner - Optometry 8820019565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Filutowski Eye Institute PAGroup PAC ID 6406843945, 11 clinicians

Practice addresses (Care Compare)

1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Phone (407) 333-1537

Merit-based Incentive Payment System (MIPS)

Final score
85.04 of 100Reported as group
Quality
97.77
Improvement activities
40
Cost
53.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Filutowski Eye Institute PA CurrentSince Jul 5, 2017 Accepting new patients
Filutowski Eye Institute PA CurrentSince Jul 5, 2017 Accepting new patients
Filutowski Eye Institute PA Past Accepting new patients

Locations

110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696

1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537

2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533

Interoperability endpoints

  • Direct secure messaging: shane.keastod.p3@direct.fcli.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1871636621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 GREENWOOD BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465404",
            "telephone_number": "407-897-3582",
            "fax_number": "407-897-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035207",
            "telephone_number": "407-897-3582",
            "fax_number": "407-897-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAST",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.