Active NPI
Armstrong Key Keodara, OD
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0082111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2787 | NC | MD | Psychologist |
| 0082111 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina PLLC | Optometrist | Current | 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.
-
- Optometrist
- Charlotte, NC
- NPI 1023183563
-
- Optometrist
- Washington, NC
- NPI 1043268295
-
- Optometrist
- Monroe, NC
- NPI 1407737182
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.