Jackie Fitzgerald Key II, ABOC, NCLEC, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1173 Issued in SC

Practice address

1041 Edgefield Rd
North Augusta, SC 29860-9279

Phone

(803) 613-3087

Fax

(803) 202-7293

NPI assigned

Jun 10, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1194454413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 EDGEFIELD RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609279",
            "telephone_number": "803-613-3087",
            "fax_number": "803-202-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 EDGEFIELD RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609279",
            "telephone_number": "803-613-3087",
            "fax_number": "803-202-7293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Knox Ave",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414056",
            "country_code": "US",
            "telephone_number": "803-202-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEY",
        "first_name": "JACKIE",
        "middle_name": "FITZGERALD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ABOC, NCLEC, LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn E. Kelly, RN, FNP
• Keith Kessler, LISW-CP, LCSW,LCSW-C
• Abby Key
• Dina Lashawn Key
• Erika Lynne Key, OTRL
• Yoon Sun Kim, D.C.
• Reese King
• Sara J King
• Jay William Knotts, MED LPC
• Laura Knotts

• Optician in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.