Keystone Eye Care GRP, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD064714L Issued in PA

Legal business name

KEYSTONE EYE CARE GRP, LLC

Practice address

1600 6TH Ave
Suite 113
York, PA 17403-2626

Phone

(717) 718-2393

Fax

(717) 718-7150

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shawyin Yee-Armah, M.D.NPI 1639146319

Title

Owner

Phone

(717) 718-2393

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Shawyin Yee-Armah, M.D.

  • Ophthalmology Physician
  • York, PA
  • NPI 1639146319

  Ophthalmology, PA

  Medicare reassignment Care Compare group NPD Authorized official
• James D Herbst, OD

  • Optometrist
  • Lemoyne, PA
  • NPI 1881615219
  Medicare reassignment Care Compare group NPD
• Gregg William Peters, O.D.

  • Optometrist
  • York, PA
  • NPI 1437190105
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1942306196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "SUITE 113",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-718-2393",
            "fax_number": "717-718-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "SUITE 113",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-718-2393",
            "fax_number": "717-718-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE EYE CARE GRP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "YEE-ARMAH",
        "authorized_official_first_name": "SHAWYIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-718-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD064714L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015659680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Richard Kertes, D.M.D.
• Shirley Delos Santos Kessler
• Abigale Ketterman, MS, LAT, ATC, CES
• Megan E Ketterman, BS PHARMD RPH
• Keystone Anesthesia Services, PC
• Keystone Health Services, Inc
• Keystone Medical Associates
• Keystone Service Systems, Inc
• Keystone Service Systems, Inc
• Keystone Therapy and Trauma Services

• All providers in York, PA
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.