Organization Active NPI

Crescent Eye Care, LLC

  • Optometrist
  • Charleston, SC
National Provider Identifier
1083013239
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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.NPI 1649461294
Title
Optometrist
Phone
(843) 460-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1481 SC Primary

Addresses

Primary practice location

3050 Ashley Town Center Dr
Charleston, SC 29414-5664

Mailing address

3050 Ashley Town Center Dr
Charleston, SC 29414-5664
Phone (843) 460-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Charleston, SC

Sources for this page

  • 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.