Healthcare Provider Details
I. General information
NPI: 1225951718
Provider Name (Legal Business Name): KEENER VISION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1145 19TH ST NW STE 707
WASHINGTON DC
20036-3705
US
IV. Provider business mailing address
1750 16TH ST NW APT 44
WASHINGTON DC
20009-3148
US
V. Phone/Fax
- Phone: 810-964-2579
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRIGITTE
KEENER
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 810-964-2579