Organization
JOHNETTE KEISER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNETTE KEISER O.D. (OPTOMETRIST/PRESIDENT)
(814) 942-7184
Entity
Organization
Contact information
Practice address
1017 LOGAN BLVD, ALTOONA, PA 16602-4027
(814) 942-7184
(814) 942-7137
Mailing address
1017 LOGAN BLVD, ALTOONA, PA 16602-4027
(814) 942-7184
(814) 942-7137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000783
PA
332H00000X
Eyewear Supplier
Primary
OE000873
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313740
UPMC
PA
01
—
410023759
RR MEDICARE
PA
Enumeration date
01/23/2008
Last updated
04/20/2010
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