DR. LISA S KELLER (NPI# 1164675989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164675989 |
| Entity Type | Individual |
| Full Name | DR. LISA S KELLER |
| Credential | O.D. |
| Practice Address |
1205 W Ferdon St Litchfield IL 62056-4454 |
| Practice Telephone | 2173245004 |
| Practice Fax Number | 2173245438 |
| Mailing Telephone | 2173245004 |
| Mailing Fax Number | 2173245438 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.010168 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016646 | Lisa Keller | Registered Nurse | 576 Longacre Ave, Woodmere, NY 11598-2308 | 2018-06-10 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1447692660 | Lisa Keller | Counselor | 9500 N Oracle Rd, Suite 162j, Tucson, AZ 85704-8523 | 2013-07-30 |
| 1497780795 | Lisa Kay Keller | Obstetrics & Gynecology | 940 Royal Avenue, Suite 350, Medford, OR 97504-6194 | 2006-07-12 |
| 1801843867 | Lisa M Keller | Physical Therapist | 136 Euclid Ave, Wadsworth, OH 44281-1501 | 2006-05-27 |
| 1285184291 | Lisa Keller | Social Worker | 715 Lake St Ste 800, Oak Park, IL 60301-1417 | 2016-10-13 |
| 1215393285 | Lisa Keller | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2016-01-06 |
| 1316105075 | Lisa Keller | Registered Nurse | 1675 Highland Ave, Room P4 4118, Madison, WI 53792-0002 | 2008-05-29 |
| 1508066309 | Lisa Ann Keller | Nurse Practitioner | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-07-19 |
| 1205051562 | Lisa Gwyn Keller | Physician Assistant | 6169 S Balsam Way, Suite 250, Littleton, CO 80123-3062 | 2007-04-13 |
| Street Address |
1205 W FERDON ST |
| City | LITCHFIELD |
| State | IL |
| Zip Code | 62056-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217114 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2006-07-16 |
| 1194325274 | Suzanne Melanie Fleming | Pharmacist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2020-10-28 |
| 1699374140 | Brian Michael Knebel | Pharmacist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2020-10-25 |
| 1720687262 | Elise Griffith | Pharmacist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2020-10-24 |
| 1578889234 | Lisa S Keller Od Inc | Point of Service | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2010-04-20 |
| 1245311075 | Wal-mart Stores, Inc | Technician/Technologist | 1205 W Ferdon St, Litchfield, IL 62056-4444 | 2006-10-18 |
| 1548379613 | Michael Anthony Santarlas | Optometrist | 1205 W Ferdon St, Litchfield, IL 62056-4444 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| 1841846888 | Madalyn Leann Rogers | Speech-Language Pathologist | 601 W South St., Litchfield, IL 62056 | 2019-08-15 |
| 1164780185 | Jimmy Dapog | Physical Therapist | 628 Illinois St, Litchfield, IL 62056 | 2012-04-27 |
| 1114139037 | Dental Professionals of Illinois, P.C. | Dentist | 620 West Union, Litchfield, IL 62056 | 2007-05-04 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1104915867 | City of Litchfield | Ambulance | 201 East Edwards, Litchfield Ave Ambulance Service, Litchfield, IL 62056 | 2006-10-12 |
| 1033213020 | Litchfield Oncology Institute Ltd | Radiology | 1201 East Union Avenue, Litchfield, IL 62056 | 2006-09-11 |
| 1891751400 | Andrew Kamp | Physical Therapist | 1510 Old Route 66 North, Litchfield, IL 62056 | 2006-04-22 |
| 1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
| 1841388840 | Muhammad Ansari | Radiology | 1201 E Union Ave, Litchfield, IL 62056 | 2006-10-11 |
| Find all providers in zip 62056 | ||||
| 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 |
|---|---|---|---|---|
| 1225390883 | Maya Sinulingga Reid | Optometrist | 110 E Ryder St, Litchfield, IL 62056-2031 | 2012-06-11 |
| 1790865368 | Family Eye Care Association, P.C. | Optometrist | 510 W Union Ave, Litchfield, IL 62056-1937 | 2006-10-17 |
| 1780692707 | David J Sobel | Optometrist | 33 Village Green Dr, Litchfield, CT 06759-3419 | 2006-08-04 |
| 1174591945 | Michael N Vold | Optometrist | 715 N Sibley Ave, Litchfield, MN 55355-1765 | 2006-03-09 |
| 1942297312 | Tommasina Pasqua Sideris | Optometrist | 17c Commons Dr, Litchfield, CT 06759-3448 | 2005-09-30 |
| 1689678633 | James J Hess | Optometrist | 135 N Sibley Ave, Litchfield, MN 55355-2138 | 2005-06-08 |
| 1740779388 | Blake Kvidt | Optometrist | 135 N Sibley Ave, Litchfield, MN 55355-2138 | 2018-05-09 |
| 1295180339 | Tommasina Enterprises, LLC | Optometrist | 17c Commons Dr, Litchfield, CT 06759-3448 | 2016-04-26 |
| 1225432966 | Reid Eye Care Ltd. | Optometrist | 110 E Ryder St, Litchfield, IL 62056-2031 | 2014-10-09 |
| 1992995658 | Annandale Eye Clinic Inc | Optometrist | 135 N Sibley Ave, Litchfield, MN 55355-2138 | 2007-07-30 |
| Find all providers in LITCHFIELD | ||||
| City | LITCHFIELD |
| Zip Code | 62056 |
Please comment or provide details below to improve the information on DR. LISA S KELLER.
| 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.