Individual provider Active NPI

Brett Keller, OD

  • Optometrist
  • Goodland, KS
National Provider Identifier
1922450576
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2030 Issued in KS
Practice address
1018 Main Ave
Goodland, KS 67735-2943
Phone
(785) 899-3654
Fax
(785) 285-9454
NPI assigned
Jul 7, 2016
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2030 KS Primary

Addresses

Primary practice location

1018 Main Ave
Goodland, KS 67735-2943

Mailing address

PO Box 687
Colby, KS 67701-0687
Phone (785) 462-8231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160718000587 KS Practitioner - Optometry 4486946159 Reassigns benefits to 2 organizations
I20201123002318 CO Practitioner - Optometry 4486946159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 S Range Ave
100 Vision Source of Colby
Colby, KS 67701-3538
Phone (785) 462-8231

415 Main St
Wray, CO 80758-1724
Phone (970) 332-4823

Merit-based Incentive Payment System (MIPS)

Final score
13.33 of 100Reported as individual
Quality
26.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3637COMDChiropractor
2030KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Optometric Associates PA Optometrist CurrentSince Dec 1, 2020 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Dec 22, 2018 Accepting new patients
Morrison Optometric Associates PA Optometrist CurrentSince Dec 1, 2020 Accepting new patients

Locations

1275 Rose Ave
Ste A
Burlington, CO 80807
Phone (719) 346-8415

415 Main St
Wray, CO 80758
Phone (970) 332-4823

105 S Main St
Yuma, CO 80759
Phone (970) 848-5345

800 N 4th St
Burlington, KS 66839
Phone (620) 364-2134

800 N 4th St
Ste 102
Burlington, KS 66839
Phone (620) 364-2134

1005 S Range Ave
Ste 100
Colby, KS 67701
Phone (785) 462-8231

1018 Main Ave
Goodland, KS 67735
Phone (785) 899-3654

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

2800 SW Wanamaker Rd
Ste 192
Topeka, KS 66614
Phone (785) 272-0707

Interoperability endpoints

  • Direct secure messaging: bkeller@direct.eyecare-partners.com
  • Direct secure messaging: brett.keller@direct.revolutionehr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1922450576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677010687",
            "telephone_number": "785-462-8231",
            "fax_number": "785-462-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 MAIN AVE",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352943",
            "telephone_number": "785-899-3654",
            "fax_number": "785-285-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRETT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodland, KS

Sources for this page

Verify at the official NPI Registry.