MEDICARE: DR. BILL C KEATING 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	2463	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205935111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILL C KEATING OD

Provider Business Mailing Address
First Line	:	PO BOX 10957
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72917-0957
Country	:	US
Telephone Number	:	479-452-1580
Fax Number	:	479-452-6910

Provider Business Practice Location Address
First Line	:	8301 ROGERS AVENUE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903
Country	:	US
Telephone Number	:	479-452-1580
Fax Number	:	479-452-6910

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	06/09/2026

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