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KELLER EYE ASSOCIATES INC. A MEDICAL GROUP NPI 1881995199


NPI Information

NPI: 1881995199
Provider Name: KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP

Former Legal Business Name: CHARLES E KELLER, M.D.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1010 W LA VETA AVE
SUITE 175
ORANGE, CA
ZIP 92868
Phone: (714) 633-5696
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KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP is a specialist in Orange, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP NPI is 1881995199. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Charles E Keller, M.d..

The provider's business location address is:

1010 W LA VETA AVE
SUITE 175
ORANGE, CA
ZIP 92868-300
Phone: (714) 633-5696
Fax: (714) 633-5490

The provider's authorized official is Charles Keller .
The authorized official title is President and has the following contact phone number (714) 633-5696.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 11/18/2014.


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
1174400000XSpecialistYes

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
1A53030MEDICARE UPINCALIFORNIA
2G55774MEDICARE PINCALIFORNIA
36485560001MEDICARE NSCCALIFORNIA

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: 11/14/2023

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.