| Jonathan Keen, OD | |
|
2003 East Main Street, Lebanon, VA 24266 | |
| (276) 883-0889 | |
| Not Available |
| Full Name | Jonathan Keen |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 2003 East Main Street, Lebanon, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013674597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618003087 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wythe Eye Associates Amanda Brewer-smith Od Inc | 1153370531 | 6 |
| Provider Name | Wythe Eye Associates Amanda Brewer-smith Od Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598820680 PECOS PAC ID: 1153370531 Enrollment ID: O20050119000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Keen, OD 284 Ben Bolt Ave, Tazewell, VA 24651-5384 Ph: (276) 385-1940 | Jonathan Keen, OD 2003 East Main Street, Lebanon, VA 24266 Ph: (276) 883-0889 |
Jared Charles Tyhurst, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1614 Main St, Lebanon, VA 24266 Phone: 276-889-1315 | |
Luke Stillwell Optometrist, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1050 Regional Park Rd, Lebanon, VA 24266 Phone: 276-889-5828 | |
Jared Tyhurst Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1614 E Main St, Lebanon, VA 24266 Phone: 276-889-1315 | |
Dr. L Howard Halsey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 775 Regional Park Rd, Lebanon, VA 24266 Phone: 276-889-5828 Fax: 276-889-3735 |