Individual provider Active NPI

Christopher Kuechle Keats, O.D.

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1992731772
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3546 Issued in FL
Practice address
2518 N McMullen Booth Rd
Ste C
Clearwater, FL 33761-4156
Phone
(727) 725-5558
Fax
(727) 724-3966
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3546 FL Primary

Addresses

Primary practice location

2518 N McMullen Booth Rd
Ste C
Clearwater, FL 33761-4156

Mailing address

2518 N McMullen Booth Rd
Ste C
Clearwater, FL 33761-4156
Phone (727) 725-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040419000360 FL Practitioner - Optometry 2062407190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2518 N McMullen Booth Rd
Suite C
Clearwater, FL 33761-4156
Phone (727) 725-5558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keats Family Vision, P.a. Optometrist Current Accepting new patients

Locations

12991 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-8832

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1992731772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 N MCMULLEN BOOTH RD",
            "address_2": "STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614156",
            "telephone_number": "727-725-5558",
            "fax_number": "727-724-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N MCMULLEN BOOTH RD",
            "address_2": "STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614156",
            "telephone_number": "727-725-5558",
            "fax_number": "727-724-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATS",
        "first_name": "CHRISTOPHER",
        "middle_name": "KUECHLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.