| Trevor Keck, OD | |
|
357 W Morgan St Ste C, Spencer, IN 47460-1255 | |
| (812) 855-8436 | |
| Not Available |
| Full Name | Trevor Keck |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 357 W Morgan St Ste C, Spencer, Indiana |
| 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 |
|---|---|---|---|
| 1124437496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003878A (Indiana) | Primary |
| 152W00000X | Optometrist | 4901004865 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Myeyedr Optometry Of Indiana Llc | 5496091316 | 70 |
| Provider Name | Myeyedr Optometry Of Indiana Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083100424 PECOS PAC ID: 5496091316 Enrollment ID: O20190115001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Keck, OD 9795 Crosspoint Blvd, Suite 100, Indianapolis, IN 46256-3354 Ph: (317) 254-6480 | Trevor Keck, OD 357 W Morgan St Ste C, Spencer, IN 47460-1255 Ph: (812) 855-8436 |
Kurt S. Petry Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 357c W Morgan St, Spencer, IN 47460 Phone: 812-829-2972 | |
Valley Optical, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 524 E Morgan St, Spencer, IN 47460 Phone: 812-829-2291 Fax: 812-829-6131 | |
Ossip Optometry, P.c Optometrist Medicare: Not Enrolled in Medicare Practice Location: 357 W Morgan St Ste C, Spencer, IN 47460 Phone: 812-829-2972 Fax: 812-829-3639 | |
Myeyedr Optometry Of Indiana, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 357 W Morgan St Ste C, Spencer, IN 47460 Phone: 812-829-2972 Fax: 812-829-3639 | |
Jennifer L. Heil, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 524 E Morgan St, Spencer, IN 47460 Phone: 812-829-2291 Fax: 812-829-6131 | |
Kurt S Petry, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 357c W Morgan St, Spencer, IN 47460 Phone: 812-829-2972 Fax: 812-829-3639 |