Crescent Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1481 Issued in SC

Legal business name

CRESCENT EYE CARE, LLC

Practice address

3050 Ashley Town Center Dr
Charleston, SC 29414-5664

Phone

(843) 460-2000

Fax

(843) 460-2022

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Roy Devin McKinney, O.D.

Title

Optometrist

Phone

(843) 460-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1083013239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ASHLEY TOWN CENTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664",
            "telephone_number": "843-460-2000",
            "fax_number": "843-460-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ASHLEY TOWN CENTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664",
            "telephone_number": "843-460-2000",
            "fax_number": "843-460-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "DEVIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-460-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charleston, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.