Shane Keast is a Optometrist in Lake Mary, Florida. Shane Keast practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shane Keast is 1871636621. The last update date is 2019-09-09.
Shane Keast's current location address is 1070 Greenwood Blvd, Lake Mary, Florida. You can contact this provider via phone number 4078973582 and fax number 4078973621. The mailing address for Shane Keast is 1070 Greenwood Blvd, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Keast |
|---|---|
| Address | 1070 Greenwood Blvd, Lake Mary, Florida |
| Phone Number | 4078973582 |
| Fax Number | 4078973621 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1871636621 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2019-09-09 |
Provider Mailing Address Detail
| Address | 1070 Greenwood Blvd |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327465404 |
| Phone Number | 4078973582 |
| Fax Number | 4078973621 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC3857 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identifier code issued to Shane Keast by the Centers for Medicare & Medicaid Services (CMS)?
The Shane Keast has been assigned the NPI (National Provider Identifier) 1871636621. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shane Keast?
The Shane Keast is physically situated at 1070 Greenwood Blvd, in the city of Lake Mary, state of FL, with the postal code 327465404.
What is Shane Keast's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shane Keast's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871636621 to Shane Keast?
The Shane Keast received its 1871636621 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.
When was the Shane Keast's information last updated?
The Shane Keast's information was last updated on 2019-09-09.