Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Allen Keith, OD

Individual provider Optometrist · NPI 1063528446

Dr. Michael Allen Keith, OD is an Optometry in Johnson City, Tennessee. Graduated from Southern College of Optometry in 1990, 36 years ago. Practices with Keith Family Vision Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
36
Trained at
Southern College of Optometry
Licensed in
TN
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

119 Boone Ridge Dr Ste 101
Johnson City, TN 37615-4998
Phone: (423) 283-7300
Fax: (423) 283-4729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T 1320 (TN)

Record details

NPI number1063528446
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 21, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1990 (36 years in practice)
Group practice Keith Family Vision Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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