PHILLIP KEYSOR
NPI 1073785119
Optometrist in Willard, OH

Q: What is Phillip Keysor's NPI number?

The NPI number for Phillip Keysor is 1073785119. It was assigned to this organization in the NPPES registry on March 28, 2008.

Q: What is Phillip Keysor's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Keysor was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2008

219 CRESTWOOD DR, WILLARD, OH 44890(419) 935-1505(419) 933-7071 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phillip Keysor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP KEYSOR (NPI 1073785119) is a healthcare organization registered as an optometrist in Willard, Ohio and active in the NPI registry since March 2008. The organization lists Phillip Keysor, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1073785119

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePHILLIP KEYSOR

Location Address219 CRESTWOOD DRWillard, OH 44890-1650

Mailing Address219 Crestwood DrWillard, OH 44890-1650 · (419) 935-1505 · Fax (419) 933-7071

Phone(419) 935-1505

Fax(419) 933-7071

Organization SubpartNo

Authorized OfficialPhillip KeysorOwner/optometrist · (419) 935-1505

Enumeration DateMarch 28, 2008

Last NPPES UpdateApril 29, 2008

✔ NPI 1073785119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 2984T512

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

219 CRESTWOOD DR, Willard, OH 44890

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Other Identifiers 1

Medicare NSC0804270001OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Phillip D. Keysor carries, from the Medicare DMEPOS supplier directory.

Phillip D. Keysor

DMEPOS supplier · Willard, OHOperated by Phillip Keysor

✔

Accepts Medicare assignment

Phillip D. Keysor agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20643893

Medicare Participant SinceJanuary 1, 1998

Supplier Location219 Crestwood DrWillard, OH 44890

Phone(419) 935-1505

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP DALE KEYSOR O.D.

Optometrist

219 CRESTWOOD DR
WILLARD, OH 44890

Huron County (419) 935-1505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Keysor's NPI number?

The NPI number for Phillip Keysor is 1073785119. It was assigned to this organization in the NPPES registry on March 28, 2008.

Where is Phillip Keysor located?

Phillip Keysor is located at 219 Crestwood Dr, Willard, OH 44890. The listed phone number is (419) 935-1505.

What is Phillip Keysor's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Phillip Keysor accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Phillip D. Keysor accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Phillip Keysor was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.