DR. JENNIFER REBECCA KEADY (NPI# 1376502153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376502153 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER REBECCA KEADY |
| Credential | OD |
| Practice Address |
406 N Broadway Ave Burns OR 97720-1551 |
| Practice Telephone | 5415731575 |
| Mailing Telephone | 5415731575 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3103T | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 231403 | 05 |
| Street Address |
406 N BROADWAY AVE |
| City | BURNS |
| State | OR |
| Zip Code | 97720-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
| 1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
| 1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
| 1700448032 | Allegiant Integrative Medicine | General Practice | 229 N Egan Ave, Burns, OR 97720 | 2019-07-08 |
| 1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
| 1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
| 1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
| 1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
| Find all providers in zip 97720 | ||||
| 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 |
|---|---|---|---|---|
| 1790990745 | Robert J. Krauel O.d.,llc | Optometrist | 229 N Egan Ave, Burns, OR 97720-1741 | 2007-05-13 |
| 1871666370 | Robert John Krauel | Optometrist | 229 N Egan Ave, Burns, OR 97720-1741 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
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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.