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Laura Rose Keith

Optometrist

Eye and Vision Services Providers

605 N Main St, Shelbyville, TN 37160-3210

(931) 684-2020

PECOS Enrollment

This provider is enrolled in PECOS as LAURA KEITH.

Based on the most recent information from CMS, provider Laura Rose Keith is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1184335655
Provider Type
Individual
Full Name
Keith, Laura Rose
Credential
OD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/6/2022
Last Updated
12/6/2022

Contact Information

Practice Location

605 N Main St, Shelbyville, TN 37160-3210

(931) 684-2020

Unlisted Fax

Mailing Location

605 N Main St, Shelbyville, TN 37160-3210

(931) 684-2020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 3762 Tennessee

Laura Rose Keith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Eye Care Center Associates Pa

Sightrite Medical Tn Llc

Music City Eye Care Llc

Dale Hasty

Grissom, Zeke Parker

Bedford Vision And Eye Clinic Pllc

Hasty, Kenneth D

Henderson Gregory, Aundrea Kay

Deharde, John Robert