Bruce J Keenan Sr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000730 Issued in VA

Practice address

1014 Amherst St
Ste 204
Winchester, VA 22601-3308

Phone

(540) 662-0522

Fax

(540) 662-6368

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bruce J Keenan OD PC

  • Optometrist
  • Winchester, VA
  • NPI 1841453198
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1932185022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 AMHERST ST",
            "address_2": "STE 204",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013308",
            "telephone_number": "540-662-0522",
            "fax_number": "540-662-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 AMHERST ST",
            "address_2": "STE 204",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013308",
            "telephone_number": "540-662-0522",
            "fax_number": "540-662-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_suffix": "Sr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009234527",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharara Kazimi, NP
• Robert A Kazmierczak, OT
• Amanda N Keatts, PT
• Elizabeth Keefe
• Dana Denise Keeler
• Emily T Keenan, CRNP-F
• Thomas P Keenan, M.D.
• Rachel Keener, M.S., CCC-SLP
• Danielle Kegel
• Douglas Brian Keim, MD

• Optometrist in Winchester, VA
• Providers in Winchester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.

Verify at the official NPI Registry.