MEDICARE: KEITH T. ROWLANDS, OD, PC

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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1407027790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEITH T. ROWLANDS, OD, PC

Provider Business Mailing Address
First Line	:	138 W MARKET ST
Second Line	:
City	:	MERCER
State	:	PA
Zip	:	16137-1012
Country	:	US
Telephone Number	:	724-662-4313
Fax Number	:	724-662-0186

Provider Business Practice Location Address
First Line	:	138 W MARKET ST
Second Line	:
City	:	MERCER
State	:	PA
Zip	:	16137-1012
Country	:	US
Telephone Number	:	724-662-4313
Fax Number	:	724-662-0186

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEITH T ROWLANDS
Credential	:	OD
Telephone Number	:	724-662-4313

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/14/2008

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