DR. MICHAEL ALLEN KEITH (NPI# 1063528446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063528446 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ALLEN KEITH |
| Credential | O.D. |
| Practice Address |
119 Boone Ridge Dr Suite 101 Johnson City TN 37615-4998 |
| Practice Telephone | 4232837300 |
| Practice Fax Number | 4232834729 |
| Mailing Telephone | 4232837300 |
| Mailing Fax Number | 4232834729 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T 1320 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3597579 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477536910 | Michael Glen Keith | Social Worker | 6062 Arlington Blvd, Falls Church, VA 22044-2943 | 2005-11-29 |
| 1649612060 | Michael Dennis Keith | Counselor | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2013-07-26 |
| 1124054374 | Michael W Keith | Orthopaedic Surgery | 2500 Metrohealth Dr, Mhmc-orthopaedics, Cleveland, OH 44109-1900 | 2006-06-22 |
| 1750333431 | Michael L Keith | Nurse Practitioner | 1315 N Division St, Spokane, WA 99202-1899 | 2006-05-17 |
| 1144280272 | Michael Patrick Keith | Internal Medicine | National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-03-24 |
| Street Address |
119 BOONE RIDGE DR SUITE 101 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37615-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161722 | Melissa Dawn Venoy | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2005-08-16 |
| 1083157788 | Amy Hamilton | Nurse Practitioner | 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-8000 | 2016-11-29 |
| 1366992851 | Nikki Daniell Vaughn | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-10-07 |
| 1790230183 | Laura Casey | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-08-16 |
| 1104277656 | Ipc Pac Healthcare Services of Tennessee PC | Psychologist | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-06-27 |
| 1487008835 | Amanda Milan Smith | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-04-21 |
| 1083084560 | Hannah Audia | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-09-28 |
| 1033593223 | Carleen Marie Ogle | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-07-17 |
| 1104209675 | Lindsey Townsend Elswick | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-07-02 |
| 1811379639 | Stacey Hubbard | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| 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 |
|---|---|---|---|---|
| 1043876295 | Zachary Long | Optometrist | 3211 Peoples St Ste 55, Johnson City, TN 37604-4109 | 2019-05-14 |
| 1528541141 | Berg & Florio Od Pa Johnson City | Optometrist | 213 S Highway 281, Suite A, Johnson City, TX 78636 | 2018-09-10 |
| 1013444264 | Sarah Rose Elmore | Optometrist | 2011 N Roan St Ste E6, Johnson City, TN 37601-3122 | 2017-05-18 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1689812125 | Senior Eye Care of Johnson City LLC | Optometrist | 7 Horseshoe Bnd, Johnson City, TN 37604-7185 | 2009-01-21 |
| 1104097815 | Cox Vision Center PC | Optometrist | 1207 N Roan Street, Johnson City, TN 37601 | 2008-03-20 |
| 1801075346 | Dr. J. Scott Gentry, O.d., P.c | Optometrist | 301 Montgomery St, Johnson City, TN 37604-5629 | 2007-11-01 |
| 1134312358 | Dr Richard A Rosenberg, Od | Optometrist | 302 Sunset Drive, Ste 109, Johnson City, TN 37604-9999 | 2007-08-21 |
| 1104017912 | Andrew R. Schwichtenberg | Optometrist | 2829 E Oakland Ave Ste 1, Johnson City, TN 37601-1908 | 2007-08-06 |
| 1326117136 | James Milton Otis | Optometrist | 3111 Browns Mill Road, Johnson City, TN 37604 | 2006-11-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37615 |
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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.