DR. ELIAS GRAHAM KEITH (NPI# 1386082394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386082394 |
| Entity Type | Individual |
| Full Name | DR. ELIAS GRAHAM KEITH |
| Credential | O.D. |
| Practice Address |
715 E 78th St Bloomington MN 55420-1397 |
| Mailing Address |
Po Box 300 Victoria MN 55386-0300 |
| Practice Telephone | 9528452262 |
| Mailing Telephone | 9522012710 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3337 | MN | Eye and Vision Services Providers |
| Street Address |
715 E 78TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-1397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407865223 | Nancy Pickett | Nurse Practitioner | 715 E 78th St, Hcmc Walmart Retail Clinic-bloomington, Bloomington, MN 55420-1397 | 2006-08-08 |
| 1346735198 | Holly Rose Langer | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2018-06-25 |
| 1578856043 | Anita Marie Wood | Nurse Practitioner | 715 E 78th St, Bloomington, MN 55420-1397 | 2011-05-17 |
| 1730495003 | Hennepin Healthcare System, Inc | Clinic/Center | 715 E 78th St, Bloomington, MN 55420-1397 | 2010-08-25 |
| 1568624195 | Jessica Loehr | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2008-06-25 |
| 1992991426 | Hadden Eyecare Associates | Optometrist | 715 E 78th St, C/o Wal-mart Vision Center, Bloomington, MN 55420-1397 | 2007-09-18 |
| 1174728331 | Gloria Elaine Deones | Physician Assistant | 715 E 78th St, Bloomington, MN 55420-1397 | 2007-06-18 |
| 1811077191 | Wal-mart Stores, Inc. | Technician/Technologist | 715 E 78th St, Bloomington, MN 55420-1397 | 2006-10-17 |
| 1144339979 | Scott D Hadden | Optometrist | 715 E 78th St, Bloomington, MN 55420 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| 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 |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1184044224 | Thomas Gast | Optometrist | 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 | 2014-04-16 |
| 1740520790 | Hoosier Eye Doctor Inc | Optometrist | 4719 W State Road 46, Bloomington, IN 47404-9518 | 2013-02-27 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1558661918 | Shu Sheng Phung | Optometrist | 315 S Center St, Bloomington, IL 61701-5101 | 2010-11-01 |
| 1760610265 | Denver Joseph Mcdaniel | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2009-06-24 |
| 1194987131 | Diana Lynn Christensen | Optometrist | 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 | 2008-07-01 |
| 1548458623 | William B. Witte, Ltd | Optometrist | 2409 E Washington St, Bloomington, IL 61704-4483 | 2007-10-14 |
| 1740472216 | Mark A Houser | Optometrist | 3818 W Woodyard Rd, Bloomington, IN 47404-1430 | 2007-08-17 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
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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.