Cornerstone Optometry

LBN: Keller Optometric, Inc.
Cornerstone Optometry is an health care organization with primary practice located at 36921 Cook St Suite 104, Palm Desert CA 92211-6070. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Keller Optometric, Inc. can be contacted via phone (760) 341-7373, or through Keller, Stephen Robert via phone (760) 341-7373.

Contact Information

Primary practice address
36921 Cook St Suite 104 Palm Desert CA 92211-6070
Fax: (760) 341-8383
Website:
Authorized official contact:
Name: Keller, Stephen Robert Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT10085T California

Profile Details

NPI number 1477694214
LBN Legal business name Keller Optometric, Inc.
DBA Doing business as Cornerstone Optometry
Authorized official Keller, Stephen Robert Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Sep 18th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477694214 NPPES
California MEDICAID SD0100850

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