=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164942447
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN KEIM OD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2017
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 560 RUGH ST
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15601-5601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-384-3000
-----------------------------------------------------
Fax | 724-384-4725
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2000 TECHNOLOGY DR STE 250
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15219-3114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-423-6800
-----------------------------------------------------
Fax | 412-281-1926
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152WP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Optometrist
-----------------------------------------------------
License Number | OEG003270
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | OEG003270
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------