KEITH A ROBERTS (NPI# 1356590525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356590525 |
Entity Type | Individual |
Full Name | KEITH A ROBERTS |
Credential | OD |
Practice Address |
5855 Reliable Pkwy Chicago IL 60686-0001 |
Mailing Address |
5855 Reliable Parkway Chicago IL 60686-0058 |
Practice Telephone | 8122882029 |
Practice Fax Number | 5027364490 |
Mailing Telephone | 8122882029 |
Mailing Fax Number | 5027364490 |
Enumeration Date | 2008-09-12 |
Last Update Date | 2010-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 18003510A | IN | Eye and Vision Services Providers |
N | 152W00000X | Optometrist | 1735DT | KY | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100079400 | 05 | |
IN | 200922030 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770810277 | Keith Eugene Roberts | Doula | 610 Pioneer Ln, Colorado Springs, CO 80904-1743 | 2009-11-04 |
1538387535 | Keith E Roberts | Chiropractor | 224 Birmingham Dr Ste 1a1, Cardiff, CA 92007-1743 | 2007-04-23 |
1811385776 | Keith Wesley Roberts | Physician Assistant | 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 | 2014-12-30 |
1073886503 | Keith Gordon Roberts | Pharmacist | 1204 Nw 6th St, Grants Pass, OR 97526-1254 | 2012-02-14 |
1245320340 | Keith F. Roberts Jr. | Surgery | 105 Us Highway 80 E, Suite 215, Demopolis, AL 36732-3605 | 2006-10-13 |
1487652145 | Keith M Roberts | Obstetrics & Gynecology | 439 Jennick Dr, Colonial Heights, VA 23834-4901 | 2005-07-07 |
Street Address |
5855 RELIABLE PKWY |
City | CHICAGO |
State | IL |
Zip Code | 60686-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
1053566182 | Kathryn A Davidson | Counselor | 2683 Reliable Pkwy, Chicago, IL 60686-0001 | 2008-11-17 |
1194775858 | Mandar A Pattekar | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-11 |
1467447268 | Mark B Austin | Pathology | 6810 Reliable Pkwy, Chicago, IL 60686-0001 | 2005-09-19 |
1326042235 | Wayne Macomb Diagnostic Imaging Center Inc | Radiology | 8690 Reliable, Chicago, IL 60686-0001 | 2005-06-09 |
1235133141 | Macomb Magnetic Resonance Imaging Center Inc | Radiology | 8956 Reliable Parkway, Chicago, IL 60686-0001 | 2005-06-09 |
1528019437 | Craig A Fenton | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
1578514543 | Stephen M Smith | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
1134170004 | James A Mcgee | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
1760433726 | Carter S Young | Radiology | 5200 Reliable Parkway, Chicago, IL 60686-0001 | 2006-05-15 |
Find all providers in zip 60686 |
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 |
---|---|---|---|---|
1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
1588280358 | Iwona B. Lazarz | Optometrist | 6500 W Irving Park Rd Ste I, Chicago, IL 60634-2454 | 2020-06-17 |
1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
1578196341 | Steven K. Siu | Optometrist | 2719 S Princeton Ave Fl 1, Chicago, IL 60616-4883 | 2020-02-19 |
1235789884 | Courtney Bandemer | Optometrist | 3708 N Southport Ave, Chicago, IL 60613-6888 | 2019-09-16 |
1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
1154977759 | Keralyn Totten | Optometrist | 230 E Ohio St Ste 120, Chicago, IL 60611-3266 | 2019-08-11 |
Find all providers in CHICAGO |
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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.