Jay a Keesling OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1288 Issued in FL

Legal business name

JAY A KEESLING OD PA

Practice address

1425 Hand Avenue
Suite a
Ormond Beach, FL 32174

Phone

(386) 673-2020

Fax

(386) 672-1099

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jay A Keesling, ODNPI 1245425347

Title

President

Phone

(386) 673-2020

Specialties & licenses 1

Addresses

Other names 1

• 20 20 Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay A Keesling, O.D.

  • Optometrist
  • Ormond Beach, FL
  • NPI 1245425347
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891714846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-2020",
            "fax_number": "386-672-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVENUE",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-2020",
            "fax_number": "386-672-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY A KEESLING OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEESLING",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-673-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20 20 Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enxhi Jankulla
• Wilfredo Wong Jaropillo Jr., ARNP
• Ashwini Jasutkar
• Javier Farach MD, PA
• Jay a Keesling OD PA
• Jayne Kwiatkowski LLC
• Jayne Kwiatkowski LLC
• Wenisha Jean
• Jean-Claude Jeanty, M.D.
• Demeshanique Jefferson

• Optometrist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.