MEDICARE: DR. KEIRA RENEE WEST OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6055TG	TX

General Provider Information

NPI Number	:	1073592028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEIRA RENEE WEST OD

Provider Business Mailing Address
First Line	:	6037 HARRIS PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4103
Country	:	US
Telephone Number	:	817-294-2800
Fax Number	:	817-294-1282

Provider Business Practice Location Address
First Line	:	6037 HARRIS PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4103
Country	:	US
Telephone Number	:	817-294-2800
Fax Number	:	817-294-1282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	06/11/2025

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