Organization
KEATON OPTOMETRY INC.
Active
Other names
Dominion Eye Care Chesapeake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOK LAVINDER KEATON OD (OPTOMETRIST/BUSINESS OWNER)
(540) 922-3847
Entity
Organization
Contact information
Practice address
1401 KRISTINA WAY UNIT 100, CHESAPEAKE, VA 23320-8918
(757) 424-4177
Mailing address
1401 KRISTINA WAY UNIT 100, CHESAPEAKE, VA 23320-8918
(757) 424-4177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618003125
OPTOMETRIC LICENSE
VA
01
—
1740957570
BROOK KEATON OPTOMETRIC NPI
VA
01
—
2664
OPTOMETRIC LICENSE
NC
Enumeration date
11/25/2024
Last updated
11/25/2024
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