JAY A KEESLING OD PA (NPI# 1750457370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750457370 |
| Entity Type | Organization |
| Organization Name | JAY A KEESLING OD PA |
| Other Organization Name | 20 20 VISION CENTER |
| Practice Address |
1425 Hand Ave Suite A Ormond Beach FL 32174-1135 |
| Practice Telephone | 3866732020 |
| Practice Fax Number | 3866721099 |
| Mailing Telephone | 3866732020 |
| Mailing Fax Number | 3866721099 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | DR. JAY A KEESLING (PRESIDENT) |
| Authorized Official Telephone | 3866732020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| 20 20 Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891714846 | Jay A Keesling Od Pa | Optometrist | 1425 Hand Avenue, Suite A, Ormond Beach, FL 32174 | 2006-07-19 |
| Street Address |
1425 HAND AVE SUITE A |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474399 | Richard A Jablonski | Ophthalmology | 1425 Hand Ave, Ste A, Ormond Beach, FL 32174-1135 | 2005-08-19 |
| 1558814228 | Brittany Forster | Physical Therapist | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174-1135 | 2016-07-29 |
| 1124401351 | Tammy Kay Kirby | Nurse Practitioner | 1425 Hand Ave, Ormond Beach, FL 32174-1135 | 2015-07-07 |
| 1972928091 | Jamie L Morris | Physical Therapist | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174-1135 | 2014-02-26 |
| 1770913360 | Blacksheep Medical | Clinic/Center | 1425 Hand Ave, Suite L, Ormond Beach, FL 32174-1135 | 2013-11-18 |
| 1992134712 | Blacksheep Medical LLC | Non-Pharmacy Dispensing Site | 1425 Hand Ave, Suite L, Ormond Beach, FL 32174-1135 | 2013-11-02 |
| 1164751632 | Jennifer Lynn Young | Physical Therapist | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174-1135 | 2009-12-13 |
| 1528219920 | Nannine Knoerzer Dahlen | Physical Therapist | 1425 Hand Ave, Ormond Beach, FL 32174-1135 | 2008-10-02 |
| 1871759266 | Oana Mierloi Dds, Pa | Dentist | 1425 Hand Ave, Suite J, Ormond Beach, FL 32174-1135 | 2008-08-05 |
| 1801072517 | Barr & Associates Physical Therapy,llc | Clinic/Center | 1425 Hand Ave, Suite H, Ormond Beach, FL 32174 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
| 1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
| 1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.