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Active NPI 1679585723 Individual Practitioner Male Practitioner

Dr. Philip Dale Keysor , OD

Optometrist • Willard, OH

Professional Overview & Biography Verified Profile Summary

Dr. Philip Keysor, OD is a registered healthcare professional specializing in Optometrist in Willard, OH. Practice services are available at 219 CRESTWOOD DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

219 Crestwood Dr

Willard, OH 448901650

Telephone 4199351505
Fax 4199337071
Associated Practice Facility / Clinic
🏢 Phillip Keysor Facility NPI 1073785119

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Willard, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Willard, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
47 47 $120.00 $117.05
92004 New patient complete exam of visual system
13 13 $130.00 $128.45

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 2984T512

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0169428 (OH)
Commercial Insurance / Payer ID Medicareb Dme
0804270001 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 06, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2007

Registered at 219 CRESTWOOD DR, WILLARD, OH 448901650 (Tel: 4199351505)

📍
Updated Business Mailing Address December 06, 2007

Registered at 219 CRESTWOOD DR, WILLARD, OH 448901650 (Tel: 4199351505)

👤
Provider Name / Credentials Updated December 06, 2007

Recorded as PHILIP KEYSOR, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2007

Optometrist (License #2984T512 in OH)

🟢
Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679585723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: December 06, 2007
Sole Proprietor: Yes

Mailing Address

219 Crestwood Dr

Willard, OH 448901650

Phone: 4199351505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.