Dr Shane B Keast OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3857 Issued in FL

Legal business name

DR SHANE B KEAST OD PA

Doing business as

Dr Shane B Keast OD PA

Practice address

3817 E Colonial Dr
Orlando, FL 32803-5207

Phone

(407) 897-3582

NPI assigned

Nov 28, 2007

Last updated

Jan 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shane Benjamin Keast, O.D.

Title

Propriotor

Phone

(407) 927-6022

Specialties & licenses 1

Addresses

Other names 1

• Dr Shane B Keast OD PA Doing business as

Locations

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1942482294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 FAIRHAVEN CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327666697",
            "telephone_number": "407-927-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035207",
            "telephone_number": "407-897-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHANE B KEAST OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "KEAST",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PROPRIOTOR",
        "authorized_official_telephone_number": "407-927-6022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Shane B Keast OD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.