Laura Rose Keith, OD | |
605 N Main St, Shelbyville, TN 37160-3210 | |
(931) 684-2020 | |
Not Available |
Full Name | Laura Rose Keith |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 605 N Main St, Shelbyville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184335655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3762 (Tennessee) | Primary |
Provider Name | Dale Hasty |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245490630 PECOS PAC ID: 4789703893 Enrollment ID: O20240103003077 |
Mailing Address | Practice Location Address |
---|---|
Laura Rose Keith, OD 605 N Main St, Shelbyville, TN 37160-3210 Ph: (931) 684-2020 | Laura Rose Keith, OD 605 N Main St, Shelbyville, TN 37160-3210 Ph: (931) 684-2020 |
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