Summerville Pediatric Eyecare PC

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

Legal business name

SUMMERVILLE PEDIATRIC EYECARE PC

Practice address

133 E 1St North St
Summerville, SC 29483-6873

Phone

(843) 771-5100

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kelli McCartney, ODNPI 1811201692

Title

Owner

Phone

(304) 982-4964

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelli Marie McCartney, O.D

  • Optometrist
  • Manning, SC
  • NPI 1811201692

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1114490976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 1ST NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 1ST NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836873",
            "telephone_number": "843-771-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE PEDIATRIC EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-982-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerville Family Young Men'S Christian Association
• Summerville Footcare Center, PA
• Summerville Internal Medicine
• Summerville Pediatric Dentistry
• Summerville Pediatric Eyecare
• Summerville Pediatric Occupational Therapy, LLC
• Summerville Physical Therapy & Balance Rehabilitation for Adults, LLC
• Summerville Primary Care
• Summerville Primary Eyecare LLC
• Summerville Sleep Consultants LLC

• Pediatric Optometrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Pediatric Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.