Provider Demographics
NPI:1407027790
Name:KEITH T. ROWLANDS, OD, PC
Entity Type:Organization
Organization Name:KEITH T. ROWLANDS, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROWLANDS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-662-4313
Mailing Address - Street 1:138 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-1012
Mailing Address - Country:US
Mailing Address - Phone:724-662-4313
Mailing Address - Fax:724-662-0186
Practice Address - Street 1:138 W MARKET ST
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-1012
Practice Address - Country:US
Practice Address - Phone:724-662-4313
Practice Address - Fax:724-662-0186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0246010001Medicare NSC