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JEFFREY KEENE O.D. NPI 1568517928


NPI Information

NPI: 1568517928
Provider Name: JEFFREY KEENE, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

PECOS Registration: Yes

Address:
16331 HERITAGE PL STE 103
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 694-4420
Get Directions

Jeffrey Keene, O.D. is a vision therapy optometrist in Eagle River, AK with 49 years of experience. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. Jeffrey Keene, O.D. NPI is 1568517928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:1975

The provider's business location address is:

16331 HERITAGE PL STE 103
EAGLE RIVER, AK
ZIP 99577-753
Phone: (907) 694-4420
Fax: (907) 694-4421

The NPI 1568517928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/24/2007 and was last updated on 2/7/2008.


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
1152WV0400XOptometristVision Therapy287319ALASKAYes

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
1OP0082MEDICAIDALASKA
20000PGCTHMEDICARE UPINALASKA
3K0000PGCTHMEDICARE UPINALASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.