Keller Eye Associates, Inc. a Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP

Practice address

1010 W la Veta Ave
Suite 175
Orange, CA 92868-4300

Phone

(714) 633-5696

Fax

(714) 633-5490

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Charles Keller, M.D.

Title

President

Phone

(714) 633-5696

Specialties & licenses 1

Addresses

Other names 1

• Charles E Keller, M.D. Former legal business name

Locations

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1881995199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "SUITE 175",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-633-5696",
            "fax_number": "714-633-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "SUITE 175",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-633-5696",
            "fax_number": "714-633-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-633-5696",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles E Keller, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Seddigheh Lenjavi Keiser
• Keith V. Rundle M.D., Inc.
• Shady Keivannia
• Pichak Kelk, DDS
• Annemarie Kelleghan, PHD
• Charles E. Keller Jr., M.D.
• Alex Kellerman
• Erin Kelley, ANP-BC
• Megan Anne Kelley
• Kathryn Kellohen, PHARMD

• Specialist in Orange, CA
• Providers in Orange, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.