DR. STEPHEN ROBERT KELLER (NPI# 1770550345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770550345 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ROBERT KELLER |
| Credential | O.D. |
| Practice Address |
36921 Cook St Suite 104 Palm Desert CA 92211-6070 |
| Practice Telephone | 7603417373 |
| Practice Fax Number | 7603418383 |
| Mailing Telephone | 7603417373 |
| Mailing Fax Number | 7603418383 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT10085T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0100850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013222686 | Stephen James Keller | Registered Nurse | 4201 Maidstone Dr, Garland, TX 75043-7233 | 2010-08-08 |
| 1992768030 | Stephen M Keller | Radiology | 307 Cabin Grove Ln, Saint Louis, MO 63141-8171 | 2006-04-10 |
| 1689916439 | Stephen Keller | Psychologist | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2013-03-20 |
| 1679864599 | Stephen Keller | Emergency Medicine | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2011-04-26 |
| 1770596777 | Stephen C Keller | Physician Assistant | 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2006-08-14 |
| 1396772968 | Stephen R Keller | Pediatrics | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-06-27 |
| 1427003144 | Stephen Phillip Keller | Internal Medicine | 7305 N. Military Trail, Medicine (111), West Palm Beach, FL 33410 | 2006-05-23 |
| Street Address |
36921 COOK ST SUITE 104 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700201043 | Mary Lynne Madden | Nurse Practitioner | 36921 Cook St, Suite 103, Palm Desert, CA 92211-6070 | 2014-02-24 |
| 1407159288 | Camilla Lee Davis | Physician Assistant | 36921 Cook St, Suite 102, Palm Desert, CA 92211-6070 | 2010-12-16 |
| 1962651984 | Patricia L. James, M.d., Inc. | Internal Medicine | 36921 Cook St, Suite 102, Palm Desert, CA 92211-6070 | 2008-09-15 |
| 1356520241 | Dung Q Le Md A Professional Corporation | Ophthalmology | 36921 Cook St, Suite 103, Palm Desert, CA 92211-6070 | 2007-10-29 |
| 1477694214 | Keller Optometric, Inc. | Optometrist | 36921 Cook St, Suite 104, Palm Desert, CA 92211-6070 | 2007-02-12 |
| 1568540417 | Erik Jan Williams | Ophthalmology | 36921 Cook St, Suite #103, Palm Desert, CA 92211-6070 | 2006-11-01 |
| 1861594137 | Dung Q Le | Ophthalmology | 36921 Cook St, Suite 103, Palm Desert, CA 92211-6070 | 2006-09-05 |
| 1689693517 | Patricia James | Emergency Medicine | 36921 Cook St, Suite 102, Palm Desert, CA 92211-6070 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| 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 |
|---|---|---|---|---|
| 1881177293 | Iseeu Optometry | Optometrist | 72840 Highway 111 # F201, Palm Desert, CA 92260-3324 | 2018-09-11 |
| 1053830158 | Kathy Mao | Optometrist | 44651 Village Ct Ste 102, Palm Desert, CA 92260-3821 | 2017-09-11 |
| 1164875571 | Vi Nguyen | Optometrist | 72840 Highway 111 Ste P315, Palm Desert, CA 92260 | 2016-07-20 |
| 1720462245 | Alyssa Buchanan | Optometrist | 36921 Cook St Ste 104, Palm Desert, CA 92211-6070 | 2015-07-14 |
| 1801154653 | Thanh-vi Nguyen, O.d., Inc. | Optometrist | 72880 Highway 111, Palm Desert, CA 92260-3313 | 2012-04-30 |
| 1891976379 | Lawrence C Watson Od A Professional Optometric Corp. | Optometrist | 73211 Fred Waring Dr Ste 102, Palm Desert, CA 92260-2871 | 2007-11-26 |
| 1609069301 | Khodai Optometric Vision Center | Optometrist | 126 Fresco Ln, Palm Desert, CA 92211-0772 | 2007-08-25 |
| 1891916961 | Gordon F. Bateman | Optometrist | 73111 Country Club Dr Ste B3, Palm Desert, CA 92260-2340 | 2007-05-02 |
| 1710006465 | Patrick J Lydon | Optometrist | 72-393 Hwy.111, Ste A, Palm Desert, CA 92260 | 2007-03-27 |
| 1851437198 | Gary L Price | Optometrist | 73260 El Paseo, Suite 2b, Palm Desert, CA 92260 | 2007-01-30 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
Please comment or provide details below to improve the information on DR. STEPHEN ROBERT 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.