Jean Michele Silecchia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1708 Issued in SC

Practice address

966 Houston Northcutt Blvd
Suite D
Mount Pleasant, SC 29464-3487

Phone

(843) 881-2492

NPI assigned

Jun 22, 2012

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 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

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Eye CareGroup PAC ID 4284659780, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Island Eye Care

  • Optometrist
  • Daniel Island, SC
  • NPI 1467639369
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD (past)
• F Mason Smith

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1477795722
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1265795397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 HIGHWAY 17 N",
            "address_2": "UNIT 1900K",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD",
            "address_2": "SUITE D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-881-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILECCHIA",
        "first_name": "JEAN",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jill Shuler, CCC-SLP
• Mary Mason Shuman
• Signature Spine and Sport LLC
• Signe Spine & Rehab LLC
• Signe Spine Surgical Center LLC
• Joanne Marie Silvestri, R.N.
• Allison Mobley Simmons, CCC-SLP
• Carol Lynn Simmons, MD
• David Simmons, SLP
• Dawn Simmons

• Optometrist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.