DR. MELISSA CATHERINE KELLER (NPI# 1235588062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235588062 |
| Entity Type | Individual |
| Full Name | DR. MELISSA CATHERINE KELLER |
| Credential | O.D. |
| Practice Address |
105 Grand Central Blvd Pooler GA 31322-4148 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 9124509200 |
| Practice Fax Number | 9124509201 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 8667954020 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002953 | GA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Grand Central Blvd, Pooler, GA 313224148 | 9124509200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479017 | Melissa M Keller | Social Worker | 1624 Manson Ave, Metairie, LA 70001-3624 | 2020-05-19 |
| 1912484379 | Melissa Keller | Speech-Language Pathologist | 16 Timber Meadows Pl, Edwardsville, IL 62025-5514 | 2018-07-27 |
| 1851948806 | Melissa Keller | Social Worker | 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0400 | 2019-08-23 |
| 1053890368 | Melissa Keller | Occupational Therapy Assistant | 3450 W Central Ave Ste 336, Toledo, OH 43606-1418 | 2018-08-08 |
| 1679923841 | Melissa R Keller | Surgery | 1200 E Michigan Ave, Suite 655, Lansing, MI 48912-1800 | 2016-06-17 |
| 1821453093 | Melissa Keller | Social Worker | 1600 Ne Broadway St, Portland, OR 97232-1426 | 2015-12-15 |
| 1972988723 | Melissa Keller | Nurse Practitioner | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2015-07-22 |
| 1801191580 | Melissa Keller | Student in an Organized Health Care Education/Training Program | 11960 Heritage Oak Pl, Ste 15, Auburn, CA 95603-2401 | 2011-01-11 |
| 1588859995 | Melissa Rose Keller | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2007-09-09 |
| 1659434553 | Melissa D Keller | Counselor | 6316 San Juan Ave, Jacksonville, FL 32210-2831 | 2006-12-19 |
| Street Address |
105 GRAND CENTRAL BLVD |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194741850 | Candler Medical Group Inc - Glennville | Family Medicine | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4061 | 2006-07-14 |
| 1235591652 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 105 Grand Central Blvd, Suite 108, Pooler, GA 31322-4148 | 2016-03-24 |
| 1760883904 | Myeyedr Optometry of Georgia, LLC | Optometrist | 105 Grand Central Blvd, Suite #110, Pooler, GA 31322-4148 | 2014-09-08 |
| 1497001382 | Leewood Brawner Still | Optometrist | 105 Grand Central Blvd, Suite 110, Pooler, GA 31322-4148 | 2012-07-28 |
| 1336463744 | Salem Counseling and Consulting, LLC | Social Worker | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| 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 |
|---|---|---|---|---|
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1922287648 | Michael Neil Callaway | Optometrist | 111 Us Highway 80 Se, Pooler, GA 31322-2533 | 2007-10-30 |
| 1225173578 | Low Country Eye Associates, PC | Optometrist | 1000 Towne Center Blvd Ste 502, Pooler, GA 31322-4068 | 2007-02-21 |
| 1730107277 | Christine Haloda | Optometrist | 15 Mill Creek Cir, Pooler, GA 31322-2151 | 2006-07-17 |
| 1760883904 | Myeyedr Optometry of Georgia, LLC | Optometrist | 105 Grand Central Blvd, Suite #110, Pooler, GA 31322-4148 | 2014-09-08 |
| 1477976017 | Eyes On Pooler, LLC | Optometrist | 160 Pooler Pkwy, Pooler, GA 31322-4200 | 2014-02-03 |
| 1508119207 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2012-10-18 |
| 1497001382 | Leewood Brawner Still | Optometrist | 105 Grand Central Blvd, Suite 110, Pooler, GA 31322-4148 | 2012-07-28 |
| 1851675441 | Kenneth C. Fries, O.d., P.C. | Optometrist | 412 Us Highway 80 Sw, Pooler, GA 31322-2541 | 2011-10-01 |
| 1205979242 | William Allen Herren | Optometrist | 15 Mill Creek Circle, Pooler, GA 31322 | 2007-02-15 |
| Find all providers in POOLER | ||||
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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.