Individual
DR. MATTHEW KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
(812) 855-7436
Mailing address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004340A
IN
Other
Enumeration date
07/12/2022
Last updated
01/12/2026
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