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Jonathan Keen, OD

Optometrist in Lebanon, VA. Individual provider (NPI-1).

NPI number1013674597
StatusActive
Last updated in NPPESJan 9, 2026

Details

NPI
1013674597
Entity type
Individual (NPI-1)
Name
Jonathan Keen
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 19, 2021
Certification date
Jan 9, 2026
Last updated
Jan 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0618003087VAYes

Practice location

2003 East Main Street
Lebanon, VA 24266

Phone 276-883-0889

Mailing address

284 Ben Bolt Ave
Tazewell, VA 24651-5384

Phone 276-385-1940

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Other Optometrist providers in Lebanon, VA

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