Provider Demographics
NPI:1023003381
Name:KEECH, PATRICIA MURPHY (OD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MURPHY
Last Name:KEECH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N 182ND ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4430
Mailing Address - Country:US
Mailing Address - Phone:206-542-7406
Mailing Address - Fax:
Practice Address - Street 1:701 N 182ND ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4430
Practice Address - Country:US
Practice Address - Phone:206-542-7406
Practice Address - Fax:206-546-2266
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00001235152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2022192Medicaid
WAAB17366Medicare ID - Type UnspecifiedPROVIDER
WA0328920003Medicare NSC
WA2022192Medicaid