Individual provider Active NPI

Armstrong Key Keodara, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1891128138
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0082111 Issued in NY
Practice address
265 Ashland PL
Brooklyn, NY 11217-1661
Phone
(864) 921-0600
NPI assigned
Aug 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0082111 NY Primary

Addresses

Primary practice location

265 Ashland PL
Brooklyn, NY 11217-1661

Mailing address

3966 65TH PL
Woodside, NY 11377-3781
Phone (864) 921-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241112004304 NC Practitioner - Optometry 7416481536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

499 Greenville Blvd SE
Greenville, NC 27858-6734
Phone (252) 756-9404

601 Greenville Blvd SE
Greenville, NC 27858-6738
Phone (252) 756-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2787NCMDPsychologist
0082111NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 20, 2024 Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Sep 20, 2024 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

3535 S Memorial Dr
Greenville, NC 27834
Phone (252) 353-3111

2490 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-4844

601 Greenville Blvd SE
Greenville, NC 27858
Phone (252) 756-4204

499 Greenville Blvd SE
Greenville, NC 27858
Phone (252) 756-9404

1302 Brown St
Washington, NC 27889
Phone (252) 633-2901

1227 Brentway Ave
Williamston, NC 27892
Phone (252) 792-6611

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1891128138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 65TH PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773781",
            "telephone_number": "864-921-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ASHLAND PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171661",
            "telephone_number": "864-921-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEODARA",
        "first_name": "ARMSTRONG",
        "middle_name": "KEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "0082111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.