Provider Demographics
NPI:1124506373
Name:DR. B. KEITH CASH - OPTOMETRY, PLLC
Entity type:Organization
Organization Name:DR. B. KEITH CASH - OPTOMETRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-777-1722
Mailing Address - Street 1:2596 REYNOLDA RD STE A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4651
Mailing Address - Country:US
Mailing Address - Phone:336-777-1722
Mailing Address - Fax:336-725-6954
Practice Address - Street 1:2596 REYNOLDA RD STE A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4651
Practice Address - Country:US
Practice Address - Phone:336-777-1722
Practice Address - Fax:336-725-6954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1080152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty