Individual provider Active NPI

Alicia E Kinch, OD

  • Optometrist
  • Hilton Head Island, SC
National Provider Identifier
1275989642
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2355 Issued in SC
Practice address
576 William Hilton Parkway
Hilton Head Island, SC 29928-9353
Phone
(843) 342-2020
Fax
(843) 342-3274
NPI assigned
May 4, 2016
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2355 SC Primary

Addresses

Primary practice location

576 William Hilton Parkway
Hilton Head Island, SC 29928-9353

Mailing address

2 Shaftsbury LN
Hilton Head Island, SC 29926

Other practice location 1

19 Promenade Street
Bluffton, SC 29910-9353
Phone (843) 815-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190920002239 VA Practitioner - Optometry 2062702913 Reassigns benefits to 1 organization
I20230303001527 SC Practitioner - Optometry 2062702913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Mobile Vision of South Carolina LLCGroup PAC ID 1951609155, 9 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

1703 Laurel St
Columbia, SC 29201-2660
Phone 24852821166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2355SCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 30, 2019 Accepting new patients
Mobile Vision of South Carolina, LLC Optometrist CurrentSince Mar 24, 2025 Accepting new patients
Carolina Eyecare Physicians LLC PastSince Jul 1, 2023 Accepting new patients
MCV Associated Physicians PastSince Oct 1, 2020 Accepting new patients
Darling Eye Center Optometrist PastSince Jul 1, 2023 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

717 Trolley Rd
Summerville, SC 29485

1300 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-2241

1300 Jefferson Park Ave
Fl 4
Charlottesville, VA 22903
Phone (434) 924-5078

2955 Ivy Rd
Ste 300
Charlottesville, VA 22903

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1275989642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHAFTSBURY LN",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 WILLIAM HILTON PARKWAY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299289353",
            "telephone_number": "843-342-2020",
            "fax_number": "843-342-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Promenade Street",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299109353",
            "country_code": "US",
            "telephone_number": "843-815-4343",
            "fax_number": "843-815-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCH",
        "first_name": "ALICIA",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.