DR. AMANDA MARIE KELLER (NPI# 1588976336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588976336 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE KELLER |
| Credential | OD |
| Practice Address |
7050 Watts Rd Madison WI 53719-1365 |
| Mailing Address |
7275 Clover Hill Dr Waunakee WI 53597-9451 |
| Practice Telephone | 6082744084 |
| Practice Fax Number | 6082744031 |
| Mailing Telephone | 6083353221 |
| Mailing Fax Number | 6082744031 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3179-35 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538454343 | Amanda Keller | Occupational Therapist | 2000 Baltusrol Ln, Lexington, KY 40509-8494 | 2011-06-09 |
| 1538349535 | Amanda Leigh Keller | Case Manager/Care Coordinator | 7345 Highway 62 West, Gassville, AR 72635 | 2007-11-07 |
| 1487277133 | Amanda Keller | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2020-05-28 |
| 1093375131 | Amanda Keller | Counselor | 1385 King Ave, Columbus, OH 43212-2220 | 2019-06-20 |
| 1700373040 | Amanda Keller | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535 | 2018-04-20 |
| 1154823771 | Amanda Keller | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6117 | 2018-02-28 |
| 1659772101 | Amanda Keller | Counselor | 9754 Kenwood Rd, Blue Ash, OH 45242-6159 | 2014-09-15 |
| 1477991339 | Amanda Keller | Social Worker | 117 S Main St, Suite 2, Freeland, MI 48623-8935 | 2013-06-12 |
| 1336481571 | Amanda Leigh Keller | Social Worker | 2215 Burdett Ave, Troy, NY 12180-2466 | 2013-03-26 |
| 1427317643 | Amanda Marie Keller | Pharmacist | 521 N Fraley St, Kane, PA 16735-1162 | 2012-05-08 |
| Street Address |
7050 WATTS RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245788769 | Sam's Club Hearing Center | Hearing Instrument Specialist | 7050 Watts Rd, Madison, WI 53719-1365 | 2016-09-13 |
| 1053771238 | Melissa Melissa Thomas | Hearing Instrument Specialist | 7050 Watts Rd, Madison, WI 53719-1365 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| 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 |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1134631674 | J2lb LLC | Optometrist | 562 N Midvale Blvd, Madison, WI 53705-3238 | 2017-10-24 |
| 1699285478 | Myeyedr Optometry of Alabama LLC | Optometrist | 105 Brookridge Dr Ste F, Madison, AL 35758-7577 | 2017-10-05 |
| 1720506876 | Heritage Eye Care | Optometrist | 12181 County Line Rd Ste 190, Madison, AL 35758-7739 | 2017-09-08 |
| 1215387105 | Jagani Vision Associates | Optometrist | 106 Walking Trail Way, Madison, AL 35758-4818 | 2016-06-21 |
| 1104290816 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 747 Boston Post Rd, Madison, CT 06443-3044 | 2015-11-18 |
| 1740663855 | Active Life Eye Care, Od, Pa | Optometrist | 415 W Academy St, Madison, NC 27025-2005 | 2015-07-07 |
| 1790175479 | William Leslie Arnold | Optometrist | 111 Colony Crossing Way Ste 220, Madison, MS 39110-6834 | 2015-02-02 |
| 1548694235 | Stephanie Mccaig | Optometrist | 1 West Towne Mall, Madison, WI 53719 | 2013-08-29 |
| 1851723258 | Mary Elizabeth Chenault | Optometrist | 102 Intercom Dr, Madison, AL 35758-2638 | 2013-08-07 |
| Find all providers in MADISON | ||||
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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.