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DR. L B KELLER OPTOMETRIST PLC NPI 1801079025


NPI Information

NPI: 1801079025
Provider Name: DR. L B KELLER, OPTOMETRIST, PLC

Other Name: OSCEOLA EYE CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
102 PLANTATION DR
OSCEOLA, AR
ZIP 72370
Phone: (870) 563-3596
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DR. L B KELLER, OPTOMETRIST, PLC is a durable medical equipment medical supplies in Osceola, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DR. L B KELLER, OPTOMETRIST, PLC NPI is 1801079025. The provider is registered as an organization entity type.
The provider Other Name Is Osceola Eye Clinic.

The provider's business location address is:

102 PLANTATION DR
OSCEOLA, AR
ZIP 72370-837
Phone: (870) 563-3596
Fax: (870) 563-1239

The provider's authorized official is Patti Wyatt .
The authorized official title is Office Manager and has the following contact phone number (870) 563-3596.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 6/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies2218ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10158580001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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