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Individual

KEITH S AMES

Active
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Individual

KEITH S AMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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