Individual provider Active NPI

Karen Mak, O.D.

  • Optometrist
  • Anderson, SC
National Provider Identifier
1265767107
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1616 Issued in SC
Practice address
100 Country Club LN
Anderson, SC 29625-1717
Phone
(864) 224-5783
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002560 GA
Optometrist 152W00000X 1616 SC Primary

Addresses

Primary practice location

100 Country Club LN
Anderson, SC 29625-1717

Mailing address

212 Maret Rd
Townville, SC 29689
Phone (678) 327-5457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20151023002212 SC Practitioner - Optometry 8628110566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye Care and Associates, PAGroup PAC ID 2466765052, 2 clinicians

Practice addresses (Care Compare)

100 Country Club LN
Anderson, SC 29625-1717
Phone (864) 224-5783

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002560GAMDOptometrist
1616SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye Care and Associates, PA Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Eye Associates, PA Optometrist CurrentSince Sep 1, 2015 Accepting new patients

Locations

100 Country Club Ln
Anderson, SC 29625
Phone (864) 224-5783

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1265767107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MARET RD",
            "city": "TOWNVILLE",
            "state": "SC",
            "postal_code": "29689",
            "telephone_number": "678-327-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251717",
            "telephone_number": "864-224-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAK",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002560",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.