JESSICA KELLER (NPI# 1972812063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972812063 |
| Entity Type | Individual |
| Full Name | JESSICA KELLER |
| Credential | O.D. |
| Practice Address |
4401 Coleman St Ste 102 Bismarck ND 58503-1371 |
| Practice Telephone | (701) 390-1315 |
| Mailing Telephone | (701) 390-1315 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 710 | ND | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | STATE LICENSE | 710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1326301144 | Jessica D Keller | Dentist | 2532 S.r. 580, Suite 5, Clearwater, FL 33761-2906 | 2012-06-18 |
| 1952613978 | Jessica Keller | Physician Assistant | 10000 Telegraph Rd., Oakwood Heritage Hospital, Taylor, MI 48180 | 2010-07-07 |
| 1841482916 | Jessica Keller | Pediatrics | 2000 S Wheeling Ave Ste 300, Tulsa, OK 74104-5639 | 2007-08-13 |
| 1902414188 | Jessica L Keller | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2020-07-14 |
| 1871079202 | Jessica L. Keller | Physician Assistant | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2018-07-18 |
| 1417443706 | Jessica Rose Keller | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2018-07-10 |
| 1003308941 | Jessica Maples Keller | Psychologist | 12 Executive Park Dr Ne Ste 300, Atlanta, GA 30329-2206 | 2018-06-06 |
| 1225540966 | Jessica Ann Keller | Physical Therapy Assistant | 928 Old Smithville Rd, Mcminnville, TN 37110-6805 | 2017-11-03 |
| Street Address |
4401 COLEMAN ST STE 102 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629755 | Elite Eye Care Pllc | Optometrist | 4401 Coleman St Ste 102, Bismarck, ND 58503-1371 | 2017-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1366794604 | Melissa Ann Abrahamson | Optometrist | 1830 E Century Ave Unit 1, Bismarck, ND 58503-0639 | 2012-10-10 |
| 1205968971 | Tom L Deis | Optometrist | 204 West Century Ave, Bismarck, ND 58503 | 2007-03-09 |
| 1154468767 | Marty J. Mrachek Od Ltd | Optometrist | 537 S 7th St, Bismarck, ND 58504-5859 | 2007-01-31 |
| 1104963099 | Marty Mrachek | Optometrist | 537 S. 7th St, C/o Nationwide Vision, Bismarck, ND 58504-5859 | 2007-01-31 |
| 1326102542 | Michael G. Kostelecky | Optometrist | 2331 Tyler Parkway, Suite 2, Bismarck, ND 58503 | 2006-12-21 |
| 1972612075 | Shanon S Bencker | Optometrist | 738 Kirkwood Mall, Midwest Vision Centers, Bismarck, ND 58504 | 2006-08-30 |
| 1558470401 | Nichol K Dillavou | Optometrist | 2821 Rock Island Pl, Bismarck, ND 58504 | 2006-08-30 |
| 1609894054 | Drs Schindler & Deis PC | Optometrist | 204 W Century Ave, Bismarck, ND 58503-1494 | 2006-07-17 |
| 1669401527 | Leidenix PC | Optometrist | 2717 Rock Island Place, Suite 2, Bismarck, ND 58504-7724 | 2006-07-02 |
| 1437197191 | Brian C Beattie | Optometrist | 1929 N Washington St Ste Aa, Bismarck, ND 58501-1616 | 2006-06-03 |
| Find all providers in BISMARCK | ||||
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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.