Keith Dennis Od Pa in Round Rock - Optometrist

Keith Dennis Od Pa - NPI 1821116104

Keith Dennis Od Pa is a Optometrist in Round Rock, Texas. Keith Dennis Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Keith Dennis Od Pa is 1821116104. The last update date is 2013-06-18.

Keith Dennis Od Pa's current location address is 3107 S I H 35 Ste 780b, Round Rock, Texas. You can contact this provider via phone number 5123109600 and fax number 5123109266. The mailing address for Keith Dennis Od Pa is 3107 S I H 35 Ste 780b, Round Rock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Keith Dennis Od Pa
Address 3107 S I H 35 Ste 780b, Round Rock, Texas
Phone Number 5123109600
Fax Number 5123109266
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dennis Keith
Credentials OD
Telephone Number 5123109600

NPI Number Detail

NPI Number 1821116104
Provider Enumeration Date 2007-03-26
Last Updated Date 2013-06-18

Provider Mailing Address Detail

Address 3107 S I H 35 Ste 780b
City Round Rock
State Texas (TX)
Post Code 786649352
Phone Number 5123109600
Fax Number 5123109266

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 5964TG
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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FAQs about Keith Dennis Od Pa

What is the unique provider identifier assigned to Keith Dennis Od Pa?

The Keith Dennis Od Pa has been issued the NPI (National Provider Identifier) 1821116104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Keith Dennis Od Pa is located?

The Keith Dennis Od Pa is situated at the following address: 3107 S I H 35 Ste 780B, Round Rock, TX, 786649352.

What is Keith Dennis Od Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Keith Dennis Od Pa'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 1821116104 to Keith Dennis Od Pa?

The Keith Dennis Od Pa received its 1821116104 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.

As of what date were the details related to Keith Dennis Od Pa most recently updated or revised?

The information pertaining to Keith Dennis Od Pa, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-18.

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