Katie Creech Hickman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.1670 OPT Issued in SC

Practice address

705 Chesterfield Hwy
Cheraw, SC 29520-7002

Phone

(843) 537-7711

Fax

(843) 537-9582

NPI assigned

Aug 4, 2011

Last updated

Aug 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albemarle Eye Center PLLCGroup PAC ID 4981696499, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albemarle Eye Center, PLLC

  dba Precision Optical

  • Ophthalmology Physician
  • Elizabeth City, NC
  • NPI 1528007507

  Optometrist

  Medicare reassignment Care Compare group NPD
• Albemarle Eye Center, PLLC

  • Ophthalmology Physician
  • Chesapeake, VA
  • NPI 1083232854
  NPD
• Albemarle Eye Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, NC
  • NPI 1336432301

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1083993323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CHESTERFIELD HWY",
            "address_2": "PO BOX 1237",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207002",
            "telephone_number": "843-537-7711",
            "fax_number": "843-537-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CHESTERFIELD HWY",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207002",
            "telephone_number": "843-537-7711",
            "fax_number": "843-537-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "KATIE",
        "middle_name": "CREECH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.1670 OPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Godwin, RPH.
• Benjamin John Gourley
• Holly Harrington, MCD, CCC-SLP
• Harseys Pharmacy
• Healthstat Inc
• Highly Favored Inc.
• Highly Favored LLC (The Beacon House)
• James Hillian, LPC
• Benjamin Milton Hinman, M.D.
• Jana Marie Hoffmeister Sr., MD

• Optometrist in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.