Physician Compare National (NPI:1356400162)

HEALTHCARE PROVIDER: LEON KEEBLE III O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356400162
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618024340
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090414000708
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KEEBLE
	Individual professional last name
Provider First Name	LEON
	Individual professional first name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	101 E MORRISON RD C
	Group Practice or individual's line 1 address
City	BROWNSVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785263378
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9565445735
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y