Summerville Pediatric Eyecare

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

Legal business name

SUMMERVILLE PEDIATRIC EYECARE

Practice address

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

Phone

(304) 982-4964

NPI assigned

Oct 23, 2018

Last updated

Oct 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli McCartney, OD

Title

Owner

Phone

(304) 982-4964

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1225504749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BELLFLOWER DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836657",
            "telephone_number": "304-982-4964"
        },
        {
            "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": "304-982-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE PEDIATRIC EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "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_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Summerville Internal Medicine
• Summerville Pediatric Dentistry
• Summerville Pediatric Eyecare PC
• Summerville Pediatric Occupational Therapy, LLC
• Summerville Physical Therapy & Balance Rehabilitation for Adults, LLC
• Summerville Primary Care
• Summerville Primary Eyecare LLC (Summerville Primary Eyecare)

• 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 Oct 23, 2018; 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.