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

Individual provider Optometrist · NPI 1124886460

Nicholas George Keinath, OD is an Optometry in Saint Joseph, Michigan. Graduated from Ferris State College - College of Optometry in 2024, 2 years ago. Practices with Great Lakes Eye Care PC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
2
Trained at
Ferris State College - College of Optometry
Licensed in
IN, MI
In the registry since
2024
Specialties on file
2
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

2848 Niles Rd
Saint Joseph, MI 49085-3352
Phone: (269) 428-3300
Fax: (269) 428-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Longmeadow Village Dr, Niles, MI 49120-7808 — (269) 684-6400

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005868 (MI)
Optometrist Taxonomy 152W00000X · Licence 18004564 (IN)

Record details

NPI number1124886460
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Great Lakes Eye Care Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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