KEEGAN JOHNSON (NPI# 1861542532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861542532 |
| Entity Type | Individual |
| Full Name | KEEGAN JOHNSON |
| Credential | MD |
| Practice Address |
1565 N Main St Ste 406 Fall River MA 02720-2972 |
| Practice Telephone | 5087302020 |
| Practice Fax Number | 5086770975 |
| Mailing Telephone | 5087302020 |
| Mailing Fax Number | 5086770975 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD13803 | RI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D70263 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MT188093 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 036679000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396272126 | Keegan Johnson | Behavior Technician | 1677 Morning Dew Dr Sw, Byron Center, MI 49315-8440 | 2017-05-11 |
| Street Address |
1565 N MAIN ST STE 406 |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-2972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385092 | Kenneth J Piva | Family Medicine | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 | 2005-06-01 |
| 1518468305 | Center for Sight LLC | Ophthalmology | 1565 N Main St, Fall River, MA 02720-2972 | 2018-02-27 |
| 1750538328 | Christopher M Covello | Optometrist | 1565 N Main St, Ste. 406, Fall River, MA 02720-2972 | 2008-08-26 |
| 1528257920 | Center for Sight Inc | Optometrist | 1565 N Main St, Ste. 406, Fall River, MA 02720-2972 | 2007-10-22 |
| 1497771943 | Gregory Todd Hofeldt | Ophthalmology | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 | 2006-07-15 |
| 1215917273 | Arthur O Anctil Jr. | Obstetrics & Gynecology | 1565 N Main St, Suite 506, Fall River, MA 02720 | 2006-01-18 |
| 1396725354 | Stephen S Kasparian | Obstetrics & Gynecology | 1565 N Main St, Suite 506, Fall River, MA 02720 | 2006-01-18 |
| 1922088988 | Renee M Desrosiers | Physician Assistant | 1565 N Main St, Suite 506, Fall River, MA 02720 | 2006-01-18 |
| 1831179894 | Stephen T Gagliardi | Obstetrics & Gynecology | 1565 N Main St, Suite 506, Fall River, MA 02720-2972 | 2006-01-18 |
| 1609855915 | Andre H Zalzal | Obstetrics & Gynecology | 1565 N Main St, Ste 506, Fall River, MA 02720 | 2006-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114291994 | Advanced Eye Centers Fr LLC | Ophthalmology | 1741 President Ave, Fall River, MA 02720-7113 | 2012-02-27 |
| 1093031858 | Noelle Layer Pruzan | Ophthalmology | 1565 N Main St Ste 406, Fall River, MA 02720-2972 | 2010-04-19 |
| 1568089415 | Independence Eye Associates, PC | Ophthalmology | 289 Pleasant St, Fall River, MA 02721-3005 | 2020-06-26 |
| 1518468305 | Center for Sight LLC | Ophthalmology | 1565 N Main St, Fall River, MA 02720-2972 | 2018-02-27 |
| 1528445988 | Total Eye Care Southcoast | Ophthalmology | 373 New Boston Rd, Suite 2, Fall River, MA 02720-5814 | 2015-05-05 |
| 1235547985 | Total Eye Care, LLC | Ophthalmology | 373 New Boston Rd, Fall River, MA 02720-5814 | 2014-07-25 |
| 1972876571 | Center for Eye Health, Pllc | Ophthalmology | 1030 President Ave, Fall River, MA 02720-5923 | 2012-02-14 |
| 1114053717 | Sean Patrick Thomas | Ophthalmology | 1030 President Ave, Fall River, MA 02720-5923 | 2007-02-26 |
| 1174614184 | Total Eye Care, LLC | Ophthalmology | 373 New Boston Rd, Fall River, MA 02720-5814 | 2006-09-27 |
| 1922113844 | Center for Eye Health Inc | Ophthalmology | 1030 President Ave, Fall River, MA 02720 | 2006-08-20 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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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.