Keith Harold Carlson, M.D.
Ophthalmology in Burnsville, MN. Individual provider (NPI-1).
NPI number1679548879
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1679548879
- Entity type
- Individual (NPI-1)
- Name
- Keith Harold Carlson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2006
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 28116 | MN | Yes |
Practice location
14101 Fairview Dr Ste 350Burnsville, MN 55337-2506
Phone 952-522-4900 · Fax 952-522-4901
Mailing address
14101 Fairview Dr Ste 350Burnsville, MN 55337-2506
Phone 952-522-4900 · Fax 952-522-4901
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Ophthalmology Physician providers in Burnsville · All 3,414 providers in Burnsville
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