DR. CRAIG ALAN KELLER (NPI# 1780971499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780971499 |
| Entity Type | Individual |
| Full Name | DR. CRAIG ALAN KELLER |
| Credential | O.D. |
| Practice Address |
301 Bay Park Square Green Bay WI 54304-5104 |
| Practice Telephone | 9204993511 |
| Mailing Telephone | 9204993511 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3221-35 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376872945 | Craig Keller | Specialist/Technologist | 177 Granny Rd, Farmingville, NY 11738-2143 | 2009-12-10 |
| 1831481365 | Craig Edward Keller | Internal Medicine | 60 Maple Rd Ste 1, Williamsville, NY 14221-2917 | 2011-05-02 |
| Street Address |
301 BAY PARK SQUARE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194271312 | Kathryn Page Treml | Nurse Practitioner | 301 Bay Park Square, Green Bay, WI 54304-5401 | 2016-08-28 |
| 1346640778 | Esther L Richter | Nurse Practitioner | 301 Bay Park Square, Green Bay, WI 54304-5401 | 2014-09-04 |
| 1124452891 | Brett J Guernsey | Pharmacist | 301 Bay Park Square, Green Bay, WI 54304 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1861054314 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 535 S Monroe Ave, Green Bay, WI 54301-4017 | 2019-07-05 |
| 1588177539 | Voss Eyecare Sc | Optometrist | 605 S Military Ave, Green Bay, WI 54303-2211 | 2017-11-13 |
| 1922440429 | Jessica Hilbert | Optometrist | 2461 Holmgren Way, Green Bay, WI 54304-5224 | 2013-07-24 |
| 1902104946 | Howard Vision Clinic Inc | Optometrist | 2149 Velp Ave Ste 100, Green Bay, WI 54303-5424 | 2011-02-28 |
| 1275845414 | Michelle Schleis | Optometrist | 2851 University Ave, Green Bay, WI 54311-5855 | 2010-07-03 |
| 1336322502 | T.j. Pease & Associates, S.c. | Optometrist | 2324 University Ave, Green Bay, WI 54302-4536 | 2007-12-11 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1699974980 | Eye Associates of Green Bay, Sc | Optometrist | 2020 Riverside Dr Ste 201, Green Bay, WI 54301-2300 | 2007-07-16 |
| 1508903766 | Randall J Paye | Optometrist | 1515 6th St, Green Bay, WI 54304-2272 | 2007-01-30 |
| 1801954979 | Patrick Jode Samels | Optometrist | 2330 Oneida St, Suite 106, Green Bay, WI 54304 | 2006-12-04 |
| Find all providers in GREEN BAY | ||||
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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.