Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP DALE KEYSOR, O.D.
Active Sole ProprietorPHILIP DALE KEYSOR, O.D. is a Optometrist healthcare provider located in WILLARD, Ohio. NPI 1679585723 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WILLARD, OH
Registration Details
- NPI Number
- 1679585723
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (19.821112223822 yrs)
- Last Updated
- Dec 6, 2007
- License
-
2984T512 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
219 CRESTWOOD DRWILLARD, OH, 448901650Browse OH providers · Browse ZIP 44890
- Phone
- 4199351505
- Fax
- 4199337071
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WILLARD, OH
| Name | Credential | NPI |
|---|---|---|
| KENNETH LEON GORTZ | O.D. | 1295973154 |
| DR. TIFFANY PROCACCINI | O.D. | 1912136755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.