Jordan F Keith (NPI# 1861646937, PAC ID# 7618014952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1861646937 |
| PAC ID by PECOS | 7618014952 |
| Professional Enrollment ID | I20140522002285 |
| Full Name | Jordan F Keith |
| Organization Legal Name | OPTOMETRIC EYE CARE CENTERS, PA |
| Address |
7880 Main St N Maple Grove MN 55369-7081 |
| Phone Number | 7634206981 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3779543962 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1202 Moore Lake Dr E, Fridley, MN 55432-5170 | 7635740075 | OPTOMETRIC EYE CARE CENTERS, PA |
| 7880 Main St N, Maple Grove, MN 55369-7081 | 7634206981 | OPTOMETRIC EYE CARE CENTERS, PA |
| Organization Legal Name | OPTOMETRIC EYE CARE CENTERS, PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Alvarado | Optometry | Optometric Eye Care Centers, Pa | 1202 Moore Lake Dr E, Fridley, MN 55432-5170 |
| Ashley E Herde | Optometry | Optometric Eye Care Centers, Pa | 1965 - 11th Ave E, Suite 101, Maplewood, MN 55109-5168 |
| Tina M Mccarty | Optometry | Optometric Eye Care Centers, Pa | 7880 Main St N, Maple Grove, MN 55369-7081 |
| Gregory W Kraupa | Optometry | Optometric Eye Care Centers, Pa | 1965 - 11th Ave E, Suite 101, Maplewood, MN 55109-5168 |
| Mitchell H Albers | Optometry | Optometric Eye Care Centers, Pa | 1965 - 11th Ave E, Suite 101, Maplewood, MN 55109-5168 |
| Bradley D Richter | Optometry | Optometric Eye Care Centers, Pa | 1965 - 11th Ave E, Suite 101, Maplewood, MN 55109-5168 |
| Steven B Nauman | Optometry | Optometric Eye Care Centers, Pa | 1965 - 11th Ave E, Suite 101, Maplewood, MN 55109-5168 |
| Street Address |
7880 MAIN ST N |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-7081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Mccarty | Optometry | Optometric Eye Care Centers, Pa | 7880 Main St N, Maple Grove, MN 55369-7081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | OPTOMETRY |
| City + Specialty | MAPLE GROVE + OPTOMETRY |
Please comment or provide details below to improve the information on Jordan F Keith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.