Trevor Scott Keck (NPI# 1124437496, PAC ID# 2163746280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1124437496 |
| PAC ID by PECOS | 2163746280 |
| Professional Enrollment ID | I20150121000680 |
| Full Name | Trevor Scott Keck |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Address |
357 W Morgan St C Spencer IN 47460-1255 |
| Phone Number | 8128292972 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5496091316 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 357 W Morgan St C, Spencer, IN 47460-1255 | 8128292972 | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Mangiaracina | Optometry | Myeyedr Optometry of Indiana LLC | 279 W 80th Pl, Merrillville, IN 46410-5491 |
| Miklos Balogh | Optometry | Myeyedr Optometry of Indiana LLC | 1525 Us Hwy 41, Schererville, IN 46375-1353 |
| Nathaniel Clark | Optometry | Myeyedr Optometry of Indiana LLC | 105 S Raceway Rd, Suite 100, Indianapolis, IN 46231-1415 |
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Paula J Gring | Optometry | Myeyedr Optometry of Indiana LLC | 422 Perry St, La Porte, IN 46350-3200 |
| Amy Elizabeth Iddins | Optometry | Myeyedr Optometry of Indiana LLC | 14555 Hazel Dell Pkwy, Suite 120, Carmel, IN 46033-7234 |
| Hannah Cater | Optometry | Myeyedr Optometry of Indiana LLC | 7840 E 96th St, Fishers, IN 46037-9629 |
| Matthew R Gifford | Optometry | Myeyedr Optometry of Indiana LLC | 5111 N Main St, Suite 200, Mishawaka, IN 46545-9039 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Benjamin J Crider | Optometry | Myeyedr Optometry of Indiana LLC | 8411 Windfall Ln, Suite 130, Camby, IN 46113-8023 |
| Street Address |
357 W MORGAN ST C |
| City | SPENCER |
| State | IN |
| Zip | 47460-1255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard T Dotterer | Optometry | 40 E Morgan St, Spencer, IN 47460-0371 | |
| Karmen A Dayhuff | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 9 N Crane Ave, Spencer, IN 47460-1507 |
| Amanda Danielle Eller | Nurse Practitioner | Indiana University Health Southern Indiana Physicians, Inc | 9 N Crane Ave, Spencer, IN 47460-1507 |
| Charles M Cochran Ii | Chiropractic | 159 Fletcher Ave, Spencer, IN 47460-1521 |
| City | SPENCER |
| Zip Code | 47460 |
| Specialty | OPTOMETRY |
| City + Specialty | SPENCER + OPTOMETRY |
Please comment or provide details below to improve the information on Trevor Scott Keck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.