Provider Demographics
NPI:1235298134
Name:KEYS, BARBARA M (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:M
Last Name:KEYS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4169 GEIST RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3420
Mailing Address - Country:US
Mailing Address - Phone:907-479-4700
Mailing Address - Fax:907-457-5596
Practice Address - Street 1:570 RIVERSTONE WAY
Practice Address - Street 2:STE 3
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709
Practice Address - Country:US
Practice Address - Phone:907-479-4700
Practice Address - Fax:907-457-5596
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKA160152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U59885Medicare UPIN
K0000PHNDDMedicare ID - Type Unspecified