Keily Couture, OD is a
Optometrist based in Grand Forks Afb, North Dakota. Keily Couture is licensed to practice in Arizona (license number OPT-002532) and her current practice location is
1599 J St, Grand Forks Afb, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(937) 668-2180.
NPI number for Keily Couture is 1912675935 and her current mailing address is 13836 E Fiery Dawn Dr, Vail, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912675935.
Healthcare Provider's Profile
Full Name | Keily Couture |
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Gender | Female |
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Speciality | Optometrist |
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Location | 1599 J St, Grand Forks Afb, North Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912675935
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 09/03/2021
Medical Identifiers
Medical identifiers for Keily Couture such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912675935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPT-002532 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keily Couture is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keily Couture, OD 13836 E Fiery Dawn Dr, Vail, AZ 85641-6456 Ph: (937) 668-2180 | Keily Couture, OD 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (937) 668-2180 |
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