DR. JACLYN ANN KELLER (NPI# 1154617652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154617652 |
| Entity Type | Individual |
| Full Name | DR. JACLYN ANN KELLER |
| Other Name | DR. JACLYN ANN SALTEE |
| Credential | O.D. |
| Practice Address |
126 Charles St Oconto WI 54153-9446 |
| Practice Telephone | 9208345251 |
| Mailing Telephone | 9208345251 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3228-35 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144751710 | Jaclyn Michelle Keller | Social Worker | 21476 N John Wayne Pkwy, Maricopa, AZ 85139-8983 | 2017-03-24 |
| 1285080374 | Jaclyn Keller | Specialist | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2016-05-09 |
| 1982066494 | Jaclyn Keller | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2016-03-23 |
| 1740662857 | Jaclyn Keller | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2015-06-25 |
| Street Address |
126 CHARLES ST |
| City | OCONTO |
| State | WI |
| Zip Code | 54153-9446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982922860 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 126 Charles St, Oconto, WI 54153-9446 | 2010-05-17 |
| 1194155267 | Thomas Lotter Sr. | Pharmacist | 126 Charles St, Oconto, WI 54153-9446 | 2013-11-26 |
| 1265878110 | Shopko #602 | Pharmacy | 126 Charles St, Oconto, WI 54153-9446 | 2013-05-20 |
| 1346569183 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 126 Charles St, Oconto, WI 54153-9446 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
| 1912997081 | Benzer Wi 1 LLC | Pharmacy | 1008 Main St, Oconto, WI 54153 | 2005-10-28 |
| 1245758127 | Hayley Joy Maxwell | Counselor | 501 Park Ave, Oconto, WI 54153 | 2017-08-31 |
| 1538542089 | Aliaksandr Trusau | Internal Medicine | 620 Smith Ave, Oconto, WI 54153 | 2015-07-01 |
| 1467879296 | Christopher Hanke | Counselor | 501 Park Ave, Oconto, WI 54153 | 2014-03-18 |
| 1669807020 | Joshua Ammon Weenig | Dentist | 1210 Pecor St, Oconto, WI 54153 | 2013-09-04 |
| 1609050798 | Bellin Psychiatric Center Inc | Clinic/Center | 820 Arbutus Ave, Oconto, WI 54153 | 2007-12-26 |
| 1932252533 | Oconto County Health & Human Services | Registered Nurse | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1841343449 | Oconto County Health & Human Services | Hospice Care, Community Based | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1457425951 | Lori Jo Eklund Walsh | Counselor | 820 Arbutus Ave, Oconto, WI 54153 | 2006-11-17 |
| Find all providers in zip 54153 | ||||
| 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 |
|---|---|---|---|---|
| 1740229400 | Thomas John Olson | Optometrist | 1028 Main St, Oconto, WI 54153-1538 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.