Organization Active NPI

Lowcountry Pediatric Eyecare LLC

  • Optometrist
  • Summerville, SC
National Provider Identifier
1003537473
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOWCOUNTRY PEDIATRIC EYECARE LLC
Practice address
89 Old Trolley Rd Ste 201
Summerville, SC 29485-4951
Phone
(843) 419-8600
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelli Marie McCartney, ODNPI 1811201692
Title
Owner
Phone
(843) 419-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

89 Old Trolley Rd Ste 201
Summerville, SC 29485-4951

Mailing address

89 Old Trolley Rd Ste 201
Summerville, SC 29485-4951
Phone (843) 419-8600

Other names 2

  • Summerville Pediatric Eyecare Doing business as
  • Summerville Primary Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

89 Old Trolley Rd
Ste 201
Summerville, SC 29485
Phone (843) 419-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1003537473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "843-419-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "843-419-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY PEDIATRIC EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-419-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerville Pediatric Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerville Primary Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.