Provider Demographics
NPI:1447035688
Name:KEEN EYE CENTER LLC
Entity type:Organization
Organization Name:KEEN EYE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GROFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-980-4238
Mailing Address - Street 1:12801 W BELL RD STE 139
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-9734
Mailing Address - Country:US
Mailing Address - Phone:480-980-4238
Mailing Address - Fax:
Practice Address - Street 1:12801 W BELL RD STE 139
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-9734
Practice Address - Country:US
Practice Address - Phone:623-583-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty