Elder, Keshia S.

Elder, Keshia S. is an individual health care provider with primary practice located at 1716 University Blvd Hpb G080A, Birmingham AL 35294-0010. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Elder, Keshia S. can be contacted via phone (205) 975-2020.

Contact Information

Primary practice address
1716 University Blvd Hpb G080A Birmingham AL 35294-0010
Fax: (205) 934-6755
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T193TA757 Alabama
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1188 South Carolina
Eye and Vision Services Providers / Optometrist 152W00000X 2011023817 Missouri

Profile Details

NPI number 1649234295
LBN Legal business name Elder, Keshia S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 3rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649234295 NPPES
South Carolina MEDICAID D11887
South Carolina MEDICAID 1649234295
South Carolina MEDICAID 9912034
South Carolina Other 51543068

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