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Deactivated NPI 1316938624 Deactivated / Inactive NPI Male Practitioner

Dr. Keith C Eldred , OD

Optometrist • Cheyenne, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Eldred has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 04, 2005
NPI Deactivation Date April 10, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Eldred, OD was a registered Optometrist practicing in Cheyenne, WY. Throughout an active medical career spanning 20 years, Dr. Eldred provided care at the practice location at 2029 BLUEGRASS CIR until profile deactivation on 2025-04-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2029 Bluegrass Cir

Cheyenne, WY 820097368

Telephone 3076382020
Fax 3076340939
Associated Practice Facility / Clinic
🏢 Aesthetic Dentistry Pc Facility NPI 1487635926

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Cheyenne, WY (156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.8% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $137.00 $108.53

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WY 103T

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1407812027

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2029 BLUEGRASS CIR, CHEYENNE, WY 820097368 (Tel: 3076382020)

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Updated Business Mailing Address July 08, 2007

Registered at 2029 BLUEGRASS CIR, CHEYENNE, WY 820097368 (Tel: 3076382020)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH ELDRED, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #103T in WY)

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Initial NPI Registration & Enumeration November 04, 2005

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: 1316938624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2005
Last Update: July 08, 2007
Deactivation Date: April 10, 2025

Mailing Address

2029 Bluegrass Cir

Cheyenne, WY 820097368

Phone: 3076382020

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.