MEDICARE: DR. ALANNA RAE O'KEEFE O.D.

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	8498TG	TX

General Provider Information

NPI Number	:	1275967150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALANNA RAE O'KEEFE O.D.

Provider Business Mailing Address
First Line	:	3100 N MACARTHUR BLVD
Second Line	:	TYLOCK EYE CARE AND LASER CENTER
City	:	IRVING
State	:	TX
Zip	:	75062-4451
Country	:	US
Telephone Number	:	972-258-6400
Fax Number	:	972-570-1103

Provider Business Practice Location Address
First Line	:	3100 N MACARTHUR BLVD
Second Line	:	TYLOCK EYE CARE AND LASER CENTER
City	:	IRVING
State	:	TX
Zip	:	75062-4451
Country	:	US
Telephone Number	:	972-258-6400
Fax Number	:	972-570-1103

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

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	10/12/2015

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