TREVOR KECK (NPI# 1124437496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124437496 |
| Entity Type | Individual |
| Full Name | TREVOR KECK |
| Credential | O.D. |
| Practice Address |
357 W Morgan St Ste C Spencer IN 47460-1255 |
| Mailing Address |
9795 Crosspoint Blvd Suite 100 Indianapolis IN 46256-3354 |
| Practice Telephone | 8128558436 |
| Mailing Telephone | 3172546480 |
| Mailing Fax Number | 3172598609 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003878A | IN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901004865 | MI | Eye and Vision Services Providers |
| Street Address |
357 W MORGAN ST STE C |
| City | SPENCER |
| State | IN |
| Zip Code | 47460-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942556881 | Candice Lynn Olund | Optometrist | 357 W Morgan St Ste C, Spencer, IN 47460-1255 | 2012-07-30 |
| 1386130730 | Myeyedr Optometry of Indiana, LLC | Optometrist | 357 W Morgan St Ste C, Spencer, IN 47460-1255 | 2018-07-09 |
| 1356770333 | Ossip Optometry, P.c | Optometrist | 357 W Morgan St Ste C, Spencer, IN 47460-1255 | 2013-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173280 | Rebecca Roell | Specialist/Technologist | 622 W State Highway 46, Spencer, IN 47460 | 2017-09-25 |
| 1740739275 | Owen County Family Young Men's Christian Association | Health Educator | 1111 W. State Hwy 46, Spencer, IN 47460 | 2016-09-26 |
| 1164515748 | Corinne R Riebow | Counselor | 272 North Us Highway 231, Spencer, IN 47460 | 2006-10-02 |
| 1689952772 | Kenneth E Marshall | Family Medicine | 9 N Crane Ave, Spencer, IN 47460 | 2011-07-25 |
| 1649348459 | Owen County Emergency Medical Services | Ambulance | 333 West State Highway 46, Spencer, IN 47460-0372 | 2006-12-01 |
| 1043242951 | Christi Ryan | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-0595 | 2006-07-07 |
| 1417089434 | Stephanie Beth Sare | Day Training/Habilitation Specialist | 650 N East St, Spencer, IN 47460-1007 | 2007-03-12 |
| 1174645915 | Julia M. Fine | Nurse Practitioner | 911 W Hillside Ave, Spencer, IN 47460-1119 | 2007-04-04 |
| 1881644672 | Betty Jean Lawrance | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2006-05-11 |
| 1427418284 | Cindy Rhodenbaugh | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2016-03-07 |
| Find all providers in zip 47460 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942556881 | Candice Lynn Olund | Optometrist | 357 W Morgan St Ste C, Spencer, IN 47460-1255 | 2012-07-30 |
| 1548582893 | Jennifer L. Heil, O.d., P.C. | Optometrist | 40 E Morgan Street, Spencer, IN 47460-1445 | 2010-02-26 |
| 1215003959 | Valley Optical, Inc. | Optometrist | 524 E Morgan St, Spencer, IN 47460-1544 | 2006-11-27 |
| 1578637658 | Kurt S Petry | Optometrist | 357c W Morgan St, Spencer, IN 47460-1219 | 2006-11-20 |
| 1538247135 | Samuel W. Butler | Optometrist | 3 E 18th St, Spencer, IA 51301-3441 | 2006-11-01 |
| 1265903728 | Myeyedr Optometry of West Virginia, Pllc | Optometrist | 227 Main St, Spencer, WV 25276-1409 | 2018-12-10 |
| 1386130730 | Myeyedr Optometry of Indiana, LLC | Optometrist | 357 W Morgan St Ste C, Spencer, IN 47460-1255 | 2018-07-09 |
| 1346645587 | Breuer Eye Care | Optometrist | 714 S Grand Ave, Spencer, IA 51301-5730 | 2014-10-30 |
| 1841603271 | Spencer Total Family Eyecare, P.C. | Optometrist | 110 W 4th St, Spencer, IA 51301-3858 | 2014-06-03 |
| 1245652866 | Family Eye Care, Inc. | Optometrist | 177 Main St, Spencer, MA 01562-1711 | 2014-01-16 |
| Find all providers in SPENCER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.