Dr Thomas J Keenan Iv, OD | |
1627 Midland Trl, Shelbyville, KY 40065-1638 | |
(502) 633-2985 | |
(502) 647-0327 |
Full Name | Dr Thomas J Keenan Iv |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 42 Years |
Location | 1627 Midland Trl, Shelbyville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083606123 | NPI | - | NPPES |
77010080 | Medicaid | KY | |
000000350873 | Other | KY | ANTHEM BCBS |
000000350897 | Other | KY | ANTHEM BCBS |
1008DT | Other | KY | OD LICENSE NUMBER |
P00185446 | Other | KY | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1008DT (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisville Optometric Centers Iii, Psc | 8729041926 | 33 |
Provider Name | Louisville Optometric Centers Iii, Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134111271 PECOS PAC ID: 8729041926 Enrollment ID: O20041109000487 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas J Keenan Iv, OD 1627 Midland Trl, Shelbyville, KY 40065-1638 Ph: (502) 633-2985 | Dr Thomas J Keenan Iv, OD 1627 Midland Trl, Shelbyville, KY 40065-1638 Ph: (502) 633-2985 |
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Dr. Luke Moix, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1627 Midland Trl, Shelbyville, KY 40065 Phone: 502-633-2985 Fax: 502-647-0327 |