Individual
KEITH S AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
612 CENTRAL CENTER, CHILLICOTHE, OH 45601
(740) 774-2106
(740) 774-2107
Mailing address
PO BOX 453, CHILLICOTHE, OH 45601-0453
(740) 774-2106
(740) 774-2107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3276T339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000123256
BLUE CROSS BLUE SHIELD
OH
05
—
0842744
—
OH
01
—
10115
COORDINATED VISION CARE
OH
01
—
2200011
UHC
OH
01
—
2200012
UHC
OH
01
—
314399798
TAX ID
OH
05
—
314399798027
—
OH
Enumeration date
12/11/2006
Last updated
08/18/2009
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